Active NPI
Jillian Laprairie Krywko, FNP
- Family Nurse Practitioner
- Rochester Hills, MI
National Provider Identifier
1992998066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704226845
- Practice address
- 3175 Rochester Road
Rochester Hills, MI 48306 - Phone
- (248) 853-2900
- Fax
- (248) 853-2906
- NPI assigned
- Aug 22, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704226845 | MI | Primary |
Addresses
Primary practice location
3175 Rochester Road
Rochester Hills, MI 48306
Mailing address
2333 S Center Rd
Burton, MI 48519-1147
Phone (810) 600-1400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704226845 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1992998066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191147",
"telephone_number": "810-600-1400",
"fax_number": "810-600-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 ROCHESTER ROAD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "48306",
"telephone_number": "248-853-2900",
"fax_number": "248-853-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYWKO",
"first_name": "JILLIAN",
"middle_name": "LAPRAIRIE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704226845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.