Individual provider Active NPI

Kristina Rae Kaufmann, NP

  • Pediatric Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1932354495
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
COA.10711-NP Issued in OH
Practice address
2121 Hughes Dr
Suite 980
Toledo, OH 43606-3845
Phone
(419) 291-2345
Fax
(419) 291-2249
NPI assigned
Nov 25, 2008
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.10711 OH
Pediatric Nurse Practitioner 363LP0200X COA.10711-NP OH Primary

Addresses

Primary practice location

2121 Hughes Dr
Suite 980
Toledo, OH 43606-3845

Mailing address

1 Seagate
#800
Toledo, OH 43604-1558
Phone (567) 585-1983

Other practice location 1

2222 Cherry St Ste 2000
Toledo, OH 43608-2673
Phone (419) 251-2061

Other practice location 2

7640 Sylvania Ave Ste E
Sylvania, OH 43560-9263
Phone (419) 251-2061

Other identifiers 1

IdentifierTypeStateIssuer
2983919MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkaufmann26072@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090901000343 OH Practitioner - Nurse Practitioner 2466507116 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.10711OHMDPediatric Nurse Practitioner
COA.10711-NPOHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC CurrentSince Nov 24, 2024 Accepting new patients
Promedica Children's Specialists CurrentSince May 1, 2016 Accepting new patients

Locations

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

7640 Sylvania Ave
Ste E
Sylvania, OH 43560
Phone (419) 473-2273

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

2121 Hughes Dr
Ste 980
Toledo, OH 43606
Phone (419) 291-2345

2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200

2222 Cherry St
Ste 2000
Toledo, OH 43608
Phone (419) 251-8005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
  • Direct secure messaging: kkaufmann26072@direct.promedica.org

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, 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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1932354495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE",
            "address_2": "#800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1983",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HUGHES DR",
            "address_2": "SUITE 980",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063845",
            "telephone_number": "419-291-2345",
            "fax_number": "419-291-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Cherry St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082673",
            "country_code": "US",
            "telephone_number": "419-251-2061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7640 Sylvania Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435609263",
            "country_code": "US",
            "telephone_number": "419-251-2061",
            "fax_number": "419-464-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMANN",
        "first_name": "KRISTINA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.10711",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.10711-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2983919",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkaufmann26072@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.