Active NPI
Lisa L Kaltenbaugh, CRNFA
- Registered Nurse First Assistant
- Lewiston, ID
National Provider Identifier
1619061447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 16540
- Practice address
- 307 Saint Johns Way Ste 1
Lewiston, ID 83501-2435 - Phone
- (208) 746-5132
- Fax
- (208) 746-0087
- NPI assigned
- Oct 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 16540 | ID | Primary |
Addresses
Primary practice location
307 Saint Johns Way Ste 1
Lewiston, ID 83501-2435
Mailing address
307 Saint Johns Way Ste 1
Lewiston, ID 83501-2435
Phone (208) 746-5132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010135951 | Other | ID | BLUE SHIELD |
| 32268 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16540 | ID | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1619061447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 SAINT JOHNS WAY STE 1",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012435",
"telephone_number": "208-746-5132",
"fax_number": "208-746-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 SAINT JOHNS WAY STE 1",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012435",
"telephone_number": "208-746-5132",
"fax_number": "208-746-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALTENBAUGH",
"first_name": "LISA",
"middle_name": "L",
"credential": "CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "ID",
"license": "16540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010135951",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "32268",
"state": "ID"
}
],
"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 Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.