Thresiamma Augustine Joseph, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

32036 Issued in MN

Practice address

3585 Lexington Ave N
Ste 350
Shoreview, MN 55126-8064

Phone

(651) 484-3942

Fax

(651) 787-0519

NPI assigned

Sep 7, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144214107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVE N",
            "address_2": "STE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268064",
            "telephone_number": "651-251-5280",
            "fax_number": "651-251-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVE N",
            "address_2": "STE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268064",
            "telephone_number": "651-484-3942",
            "fax_number": "651-787-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "THRESIAMMA",
        "middle_name": "AUGUSTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MN",
            "license": "32036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "CP9090199004",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1203070",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "299L3J0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1201379",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise H Johnson, M.D.
• Julie Johnson, CCC-SLP
• Kenneth Johnson, LICSW
• Ann Louise Jones, M.A., L.P.
• Rebecca Jorgensen, PSY.D
• Deepa Joshi
• Karla Ann Joyce, D.C.
• Kevin C. Juleen, D.C.
• Junewell Counseling
• Kul Bahdur Kadariya

• Pediatric Adolescent Medicine Physician in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Pediatric Adolescent Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.