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Deactivated NPI 1679518732 Deactivated / Inactive NPI Female Practitioner

Carol Krush

Specialist • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carol Krush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 20, 2006
NPI Deactivation Date November 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Carol Krush was a registered Specialist practicing in Minneapolis, MN. Throughout an active medical career spanning 17 years, Carol Krush provided care at the practice location at 1213 E FRANKLIN AVE until profile deactivation on 2023-11-15.

Practice Location & Contact Primary Location

Practice Address

1213 E Franklin Ave

Minneapolis, MN 554042923

Telephone 6128728086
Fax 6128728547
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.8 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Minneapolis, MN (877 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 20698

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Mary Raukar , MD

Family Medicine

NPI 1013389170

Doctor of Medicine (M.D.)

Dr. Antony Stately , PhD, LP

Counselor - Mental Health

NPI 1023303054

Doctor of Philosophy (Ph.D.), Licensed Psychologist

NPI 1124514948

Doctor of Pharmacy (Pharm.D.)

Sydney Keeler , MSED, LPCC

Counselor - Professional

NPI 1164004479

Master of Science in Education, Licensed Professional Clinical Counselor

Michael Steinfadt

Registered Nurse - Community Health

NPI 1174498562
Henry Goldman , RN

Registered Nurse

NPI 1255229639

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2023

Record deactivated on November 15, 2023

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2007

Registered at 1213 E FRANKLIN AVE, MINNEAPOLIS, MN 554042923 (Tel: 6128728086)

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Updated Business Mailing Address October 19, 2007

Registered at 1213 E FRANKLIN AVE, MINNEAPOLIS, MN 554042923 (Tel: 6128728086)

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Provider Name / Credentials Updated October 19, 2007

Recorded as CAROL KRUSH

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Specialist (License #20698 in MN)

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Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679518732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: October 19, 2007
Deactivation Date: November 15, 2023

Mailing Address

1213 E Franklin Ave

Minneapolis, MN 554042923

Phone: 6128728086

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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