Individual provider Active NPI

Kaysea Lee Studioso-Hatch, DO

  • Pediatrics Physician
  • Caldwell, ID
National Provider Identifier
1841932597
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3971154 Issued in ID
Practice address
712 Aviation Way
Caldwell, ID 83605-1154
Phone
(208) 302-7100
Fax
(208) 302-7189
NPI assigned
Apr 12, 2022
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3971154 ID Primary
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

712 Aviation Way
Caldwell, ID 83605-1154

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice location 1

712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 761-1007

Other names 1

  • Kaysea Studioso 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623001935 ID Practitioner - Pediatric Medicine 1355720111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Pediatrics CurrentSince Aug 1, 2025 Accepting new patients

Locations

712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

867 S Vanguard Way
Meridian, ID 83642
Phone (208) 302-7950

Interoperability endpoints

  • Direct secure messaging: kstudiosohatch4566372@direct.trinity-health.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1841932597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 AVIATION WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051154",
            "telephone_number": "208-302-7100",
            "fax_number": "208-302-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Aviation Way",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836051154",
            "country_code": "US",
            "telephone_number": "208-761-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDIOSO-HATCH",
        "first_name": "KAYSEA",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "3971154",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYSEA",
            "last_name": "STUDIOSO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.