Jack Robert Kruse, SUDPT
Student in an Organized Health Care Education/Training Program · Shoreline, WA
Jack Robert Kruse, SUDPT is a student in an organized health care education/training program with a practice address in Shoreline, Washington, and NPI 1457987992, issued on Mar 17, 2020. Check the license with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Robert Kruse
- Credential
- SUDPT
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice location
- 16715 Aurora Ave N Ste 102, Shoreline, WA 98133
- Phone
- (206) 546-9766
- Enumerated
- Mar 17, 2020
- Record last updated
- Mar 17, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (206) 542-0326
- Entity
- Type 1 · individual
8 nearest student in an organized health care education/training program records → All 5,164 in Washington → Look up another NPI →
Also registered at 16715 Aurora Ave N Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Patrick BlackOther Technician1861126583
- Kilee BuschTechnician/Technologist1891399457
- Gerardo Cervantes-NaranjoTechnician/Technologist1508510207
Verify Jack Robert Kruse in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jack Robert Kruse among 5,164 student in an organized health care education/training program records in Washington
Jack Robert Kruse, SUDPT is one of 5,164 student in an organized health care education/training program records with a practice address in Washington. 18% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2020, is newer than 20% of them.
- NPI issued2020 · 20% of these records are older, 75% newer
- In a Medicare fileNo · 18% of these records are
- In the CMS Doctors and Clinicians fileNo · 3% of these records are
- Record last updated2020 · 26% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
22 student in an organized health care education/training program records list a practice address in Shoreline
They are 22 of the 1,234 NPPES records with a practice address in Shoreline, and 5,164 student in an organized health care education/training program records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5,164 in Washington → Every provider in Shoreline → Student in an Organized Health Care Education/Training Program nationwide →
The 8 student in an organized health care education/training program records with the nearest ZIP codes
- Brittney DeutschSeattle, WA 981331588448948
- Jennifer GlascoShoreline, WA 981331861427759
- Brian GoldbergShoreline, WA 981331376100719
- Nicholas HandwerkShoreline, WA 981331033707237
- Cuong Lieu, MDSeattle, WA 981331871140335
- Charlene NguyenShoreline, WA 981331780005082
- Odawni PalmerShoreline, WA 981331861878456
- Sarah PooleSeattle, WA 981331003465303
Common questions
What is Jack Robert Kruse, SUDPT's NPI number?
Jack Robert Kruse, SUDPT's National Provider Identifier (NPI) is 1457987992, issued on Mar 17, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jack Robert Kruse, SUDPT located?
The NPPES record lists a practice address at 16715 Aurora Ave N Ste 102, Shoreline, WA, 98133. Phone: (206) 546-9766. Providers update this record themselves, so call before visiting.
How can I verify Jack Robert Kruse, SUDPT's license?
Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.