Active NPI
Patricia Kraemer, M.A., LP
- Psychologist
- Saint Paul, MN
National Provider Identifier
1932128642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3729
- Practice address
- 7066 Stillwater Blvd N
Saint Paul, MN 55128-3937 - Phone
- (651) 777-5222
- Fax
- (651) 251-5111
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3729 | MN | Primary |
Addresses
Primary practice location
7066 Stillwater Blvd N
Saint Paul, MN 55128-3937
Mailing address
7066 Stillwater Blvd N
Saint Paul, MN 55128-3937
Phone (651) 777-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490517200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3729 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932128642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7066 STILLWATER BLVD N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551283937",
"telephone_number": "651-777-5222",
"fax_number": "651-251-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7066 STILLWATER BLVD N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551283937",
"telephone_number": "651-777-5222",
"fax_number": "651-251-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAEMER",
"first_name": "PATRICIA",
"credential": "M.A., LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "3729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490517200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.