Individual provider Active NPI

Kenneth Richard Kraut, RRT

  • Pulmonary Function Technologist
  • Erie, PA
National Provider Identifier
1962582080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function TechnologistTaxonomy code 225B00000X
License
YO000229L Issued in PA
Practice address
135 E 38TH St
Erie, PA 16504-1559
Phone
(814) 868-8661
Fax
(814) 860-2112
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist 225B00000X YO000229L PA Primary

Addresses

Primary practice location

135 E 38TH St
Erie, PA 16504-1559

Mailing address

4003 Dexter Ave
Erie, PA 16504-2437
Phone (814) 825-7656

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
YO000229LPAMDPulmonary Function Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962582080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042437",
            "telephone_number": "814-825-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041559",
            "telephone_number": "814-868-8661",
            "fax_number": "814-860-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUT",
        "first_name": "KENNETH",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "PA",
            "license": "YO000229L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

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.

Verify at the official NPI Registry.