Ann Cueva, RNCFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

N10829 Issued in ID

Practice address

1252 Bennett Ave
Suite B
Burley, ID 83318-2664

Phone

(208) 878-3486

Fax

(208) 878-2005

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gem State Family Health Care PLLC

  • Primary Care Clinic/Center
  • Twin Falls, ID
  • NPI 1427537927
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164563680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 BENNETT AVE",
            "address_2": "SUITE B",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182664",
            "telephone_number": "208-878-3486",
            "fax_number": "208-878-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 BENNETT AVE",
            "address_2": "SUITE B",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182664",
            "telephone_number": "208-878-3486",
            "fax_number": "208-878-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVA",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RNCFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N10829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "NPYH0",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010017297",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Cook, APRN-CNP
• Crane Chiropractic CHTD
• Gilbert K Crane, M.D
• Troy W Crane, D.C.
• Esther Cranney, MS, LPC
• Natalie J Daniels, CNMW
• Taylor Davis
• Dennis Michaelson D.M.D., Ms
• Matthew David Detemple, D.O.
• Cami Dixon, RDN

• Family Nurse Practitioner in Burley, ID
• Providers in Burley, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.