NPI Code Detail JSON Logo

1124138284 NPI number — ROBIN KROEGER CRNA

NPI Number: 1124138284
Health Care Provider/Practitioner: ROBIN KROEGER CRNA

Information about “1124138284” NPI (ROBIN KROEGER CRNA) exists in 1124138284 in HTML format HTML  |  1124138284 in plain Text format TXT  |  1124138284 in PDF (Portable Document Format) PDF  |  1124138284 in an XML format XML  formats.

NPI Number : 1124138284 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124138284",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KROEGER",
    "FirstName": "ROBIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "940 WEST PORT PLAZA",
    "SecondLineMailingAddress": "STE 270",
    "MailingAddressCityName": "ST LOUIS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63146",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-453-0600",
    "MailingAddressFaxNumber": "314-453-0083",
    "FirstLinePracticeLocationAddress": "232 S WOODS MILLS",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESTERFIELD",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-205-6917",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "05/30/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "125598",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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