Individual provider Active NPI

Chris Scott Kaufman, HIS

  • Specialist
  • Faribault, MN
National Provider Identifier
1871183905
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
097677 Issued in IA
Practice address
2901 Lavender Pkwy Ste 130
Faribault, MN 55021-5087
Phone
(507) 333-3932
NPI assigned
Jan 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 097677 IA Primary

Addresses

Primary practice location

2901 Lavender Pkwy Ste 130
Faribault, MN 55021-5087

Mailing address

2901 Lavender Pkwy Ste 1302901
Faribault, MN 55021-5085
Phone (507) 333-3932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopherkaufman@frasierenterprises.com Direct

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

LicenseStateTypeSpecialty
097677IAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Hearing Associates LLC CurrentSince Jan 24, 2021 Accepting new patients

Locations

2901 Lavender Pkwy
Ste 130
Faribault, MN 55021
Phone (507) 333-3932

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1871183905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 LAVENDER PKWY STE 1302901",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215085",
            "telephone_number": "507-333-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 LAVENDER PKWY STE 130",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215087",
            "telephone_number": "507-333-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "CHRIS",
        "middle_name": "SCOTT",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "097677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopherkaufman@frasierenterprises.com",
            "affiliation": "N",
            "endpointDescription": "store email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2901 Lavender Pkwy Ste 130",
            "city": "Faribault",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550215087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.