Individual provider Active NPI

Kari M Lopez, NP

  • Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1841456191
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-876A Issued in ID
Practice address
512 E Elm St
Caldwell, ID 83605-4871
Phone
(208) 468-5925
Fax
(208) 468-5926
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-876A ID Primary

Addresses

Primary practice location

512 E Elm St
Caldwell, ID 83605-4871

Mailing address

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 463-3000

Other practice location 1

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 463-3234

Other identifiers 1

IdentifierTypeStateIssuer
8081544MedicaidID

Other names 1

  • Kari M Underkofler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000199 ID Practitioner - Nurse Practitioner 1850468208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Medicine Idaho LLCGroup PAC ID 8921441163, 4 clinicians

Practice addresses (Care Compare)

4605 Enterprise Way
Suite 101
Caldwell, ID 83605-6889
Phone (208) 508-0345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Medicine Idaho, LLC CurrentSince Jun 6, 2024 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

4605 Enterprise Way
Ste 101
Caldwell, ID 83605
Phone (208) 353-7518

217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1841456191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-463-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054871",
            "telephone_number": "208-468-5925",
            "fax_number": "208-468-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Hawaii Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866011",
            "country_code": "US",
            "telephone_number": "208-463-3234",
            "fax_number": "208-463-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KARI",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-876A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8081544",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "UNDERKOFLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.