1063670164 NPI number — MRS. RHONDA MARIE KRIEGER I RCSWI SWI 2438

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063670164 NPI number — MRS. RHONDA MARIE KRIEGER I RCSWI SWI 2438

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRIEGER
Provider First Name:
RHONDA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
I
Provider Credential Text:
RCSWI SWI 2438
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HORNOT
Provider Other First Name:
RHONDA KRIEGER
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
SOCIAL WORKER
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1063670164
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8230 45TH WAY N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST PALM BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33418-6170
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-694-1577
Provider Business Mailing Address Fax Number:
561-691-5076

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8230 45TH WAY N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST PALM BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33418-6170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-694-1577
Provider Business Practice Location Address Fax Number:
561-691-5076
Provider Enumeration Date:
05/27/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  RCSWI SWI 2438 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: RCSWI SWI 2438 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 171M00000X , with the licence number: RCSWI SWI 2438 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)