PAUL R. KAFFAR CNP NPI 1053419903

NPI Information

NPI: 1053419903
Provider Name: PAUL R. KAFFAR, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AVERA MCKENNAN

PECOS Registration: Yes

Address:
6100 S LOUISE AVE STE 1120
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 504-1700
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Paul R. Kaffar, CNP is a family nurse practitioner in Sioux Falls, SD with 18 years of experience. Paul R. Kaffar, CNP NPI is 1053419903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6100 S LOUISE AVE STE 1120
SIOUX FALLS, SD
ZIP 57108-021
Phone: (605) 504-1700

The NPI 1053419903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 10/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	CP000478	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0125073	OTHER	SOUTH DAKOTA	MEDICA
2	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR
3	P00446747	OTHER	SOUTH DAKOTA	RR MEDICARE
4	46022474335	MEDICAID	NEBRASKA
5	CP000478	OTHER	SOUTH DAKOTA	CNP LICENSE
6	251572	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
7	R027066	OTHER	SOUTH DAKOTA	RN LICENSE
8	0545186	MEDICAID	IOWA
9	2444134	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
10	4993678	OTHER	SOUTH DAKOTA	BLUE CROSS
11	9240659	OTHER	SOUTH DAKOTA	DAKOTACARE
12	500L7KA	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
13	92411422901	OTHER	MINNESOTA	PRIMEWEST
14	070107000	MEDICAID	MINNESOTA
15	57105F018	OTHER	SOUTH DAKOTA	WPS TRICARE
16	769201048412	OTHER	SOUTH DAKOTA	PREFERRED ONE
17	HP71462	OTHER	SOUTH DAKOTA	HEALTHPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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