Kiva Louise Felgenhauer, RN

Key facts

NPI

1922929520

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

4581818 (ID)

Practice address

838 E 1430 N
Shelley, ID 83274-5174

Phone

(208) 521-6117

NPI assigned

Jul 22, 2026

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2026.

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1922929520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E 1430 N",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E 1430 N",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745174",
            "telephone_number": "208-521-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELGENHAUER",
        "first_name": "KIVA",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "4581818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stacy J Gardner, OT
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• Bryce D Hanson, D.M.D

All providers in Shelley, ID · Registered Nurse in Idaho