Kim Renae Kuechenmeister, NA

Primary specialty

Ophthalmic AssistantTaxonomy code 156FX1101X

Practice address

323 Sixth Avenue
Madision, MN 56256

Phone

(320) 598-7566

Fax

(320) 598-3760

NPI assigned

Nov 14, 2006

Last updated

Jul 21, 2022By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dr Ronn McDaniel PA

  • Optometrist
  • Ortonville, MN
  • NPI 1982756169
  NPD (past)
• Granite Falls Eyecare, Inc

  dba Madison Family Eyecare

  • Optometrist
  • Madison, MN
  • NPI 1851191068
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659443679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SIXTH AVENUE",
            "city": "MADISION",
            "state": "MN",
            "postal_code": "56256",
            "telephone_number": "320-598-7566",
            "fax_number": "320-598-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SIXTH AVENUE",
            "city": "MADISION",
            "state": "MN",
            "postal_code": "56256",
            "telephone_number": "320-598-7566",
            "fax_number": "320-598-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUECHENMEISTER",
        "first_name": "KIM",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "NA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MEDICAID",
            "identifier": "114995",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS MEDICAID",
            "identifier": "46044MA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166363100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.