Active NPI
Kristy Anne Kuehfuss, PH.D.
- Clinical Psychologist
- Lewiston, ID
National Provider Identifier
1114102274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-202443
- Practice address
- 1418 Grelle Ave
Lewiston, ID 83501-5830 - Phone
- (208) 631-5843
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY-60894795 | WA | |
| Clinical Psychologist | 103TC0700X | PSY-202443 | ID | Primary |
Addresses
Primary practice location
1418 Grelle Ave
Lewiston, ID 83501-5830
Mailing address
1418 Grelle Ave
Lewiston, ID 83501-5830
Phone (208) 631-5843
Other practice location 1
111 Bever Grade Road
Lapwai, ID 83540
Phone (208) 843-2274 ext. 2885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1418 Grelle Ave
Lewiston, ID 83501-5830
Phone (208) 631-5843
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY-60894795 | WA | MD | Clinical Psychologist |
Interoperability endpoints
- kristyk@nimiipuuhealth.directbygreenway.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Lewiston, ID
- NPI 1063731586
-
dba (DBA) Nimiipuu Health
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Lapwai, ID
- NPI 1790795888
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1114102274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 GRELLE AVE",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015830",
"telephone_number": "208-631-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 GRELLE AVE",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015830",
"telephone_number": "208-631-5843"
}
],
"practiceLocations": [
{
"address_1": "111 Bever Grade Road",
"address_purpose": "LOCATION",
"city": "Lapwai",
"state": "ID",
"postal_code": "83540",
"country_code": "US",
"telephone_number": "208-843-2274 x2885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUEHFUSS",
"first_name": "KRISTY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY-60894795",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY-202443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.