Active NPI
Carissa R. Kunkel, M.A.
- Audiologist
- Oregon, OH
National Provider Identifier
1053583989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01173
- Practice address
- 1050 Isaac Streets Dr
Suite 137
Oregon, OH 43616-3291 - Phone
- (419) 474-9324
- Fax
- (419) 474-9345
- NPI assigned
- Apr 1, 2008
- Last updated
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01173 | OH | Primary |
Addresses
Primary practice location
1050 Isaac Streets Dr
Suite 137
Oregon, OH 43616-3291
Mailing address
3829 Woodley Rd
Building B
Toledo, OH 43606-1171
Phone (419) 474-9324
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.01173 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Hearing and Speech Center | Audiologist | Past | Accepting new patients |
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, 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": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1053583989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3829 WOODLEY RD",
"address_2": "BUILDING B",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061171",
"telephone_number": "419-474-9324",
"fax_number": "419-474-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 ISAAC STREETS DR",
"address_2": "SUITE 137",
"city": "OREGON",
"state": "OH",
"postal_code": "436163291",
"telephone_number": "419-474-9324",
"fax_number": "419-474-9345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "CARISSA",
"middle_name": "R.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.