Theresa Marie Kaufmann, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP160A Issued in ID

Practice address

777 Hospital Way BLDG a
Ste. 101
Pocatello, ID 83201-2753

Phone

(208) 234-2001

Fax

(208) 232-2195

NPI assigned

Sep 26, 2005

Last updated

Nov 14, 2008By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pocatello Health Services, LLC

  • Cardiovascular Disease Physician
  • Pocatello, ID
  • NPI 1992713432
  NPD
• Pocatello Cardiology Associates

  • Adult Health Clinical Nurse Specialist
  • Pocatello, ID
  • NPI 1659540292
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1649266529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX O",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832050049",
            "telephone_number": "208-234-2001",
            "fax_number": "208-232-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY BLDG A",
            "address_2": "STE. 101",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012753",
            "telephone_number": "208-234-2001",
            "fax_number": "208-232-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMANN",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "NP160A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806131600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracie Alanna Kamp
• Anna Kampp
• Shanon Kaneko
• Richard D Karem, M.D.
• Evan Donald Karlson, M. COUN.
• Rachel Kay-Moskowitz, LMSW
• Kayla Gibbons Counseling LLC
• Katrina Louise Keady
• Colby Russell Kearl, MD
• Darci J Kearn

• Adult Health Nurse Practitioner in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Adult Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.