NPI Code Detail JSON Logo

1679969299 NPI number — TRICIA DWYER KRUEGER APRN

NPI Number: 1679969299
Health Care Provider/Practitioner: TRICIA DWYER KRUEGER APRN

Information about “1679969299” NPI (TRICIA DWYER KRUEGER APRN) exists in 1679969299 in HTML format HTML  |  1679969299 in plain Text format TXT  |  1679969299 in PDF (Portable Document Format) PDF  |  1679969299 in an XML format XML  formats.

NPI Number : 1679969299 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679969299",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KRUEGER",
    "FirstName": "TRICIA",
    "MiddleName": "DWYER",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SANTOPIETRO",
    "OtherFirstName": "TRICIA",
    "OtherMiddleName": "DWYER",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1316 DENBRIGHT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CATONSVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21228-2721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-744-3455",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "25 GERMANTOWN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06810-5036",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-794-5620",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/09/2015",
    "LastUpdateDate": "04/13/2015",
    "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": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "6101",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "6101",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "6101",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.