Monique Lynae Middlekauff, PHD, RECP, CSCS

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

2550 Addison Ave E Ste C
Twin Falls, ID 83301-6748

Phone

(208) 814-7770

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1558081489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 N COLLEGE RD STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015822",
            "telephone_number": "208-814-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 ADDISON AVE E STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016748",
            "telephone_number": "208-814-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEKAUFF",
        "first_name": "MONIQUE",
        "middle_name": "LYNAE",
        "name_prefix": "Dr.",
        "credential": "PHD, RECP, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "middlekm@slhs.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unsure",
            "address_1": "754 N College Rd Ste A",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833015822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley Meyer
• John Meyers, CRNA
• Michael K Taylor, MD, & Jason T Halverson, MD, PLLC
• Mary Christine Michener, M.S. CCC SLP
• Ronald F Miciak, M.D.
• Midnight Oil LTD
• Midnight Oil LTD.
• Karen L Mietzner, LPC
• Mike B Dingman DDS PA
• Miles H. Humphrey, M.D.

• Clinical Exercise Physiologist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Exercise Physiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.