Active NPI
Carol Ann Kunkle, DPM
- Podiatrist
- Latrobe, PA
National Provider Identifier
1063426500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002230L
- Practice address
- 805 S Alexandria St
Latrobe, PA 15650-1502 - Phone
- (724) 539-0242
- Fax
- (724) 539-6664
- NPI assigned
- Jul 28, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002230L | PA | Primary |
Addresses
Primary practice location
805 S Alexandria St
Latrobe, PA 15650-1502
Mailing address
805 S Alexandria St
Latrobe, PA 15650-1502
Phone (724) 539-0242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007691290001 | Medicaid | PA | |
| 1457675 | Other | PA | BLUE SHIELD |
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
Interoperability endpoints
- ckunkle@direct.excelahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063426500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 S ALEXANDRIA ST",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501502",
"telephone_number": "724-539-0242",
"fax_number": "724-539-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S ALEXANDRIA ST",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501502",
"telephone_number": "724-539-0242",
"fax_number": "724-539-6664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKLE",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002230L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007691290001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1457675",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latrobe, PA
- Joseph Michael Kromer, MS LBS
- Paul G Krouse, DPM
- Courtney Brooke Kubovcik
- Emily Elizabeth Kukura, MD
- Carly Houston Kunkle, LPC
- Bryce Erik Kurpiel
- Meri Susan Labick, M.S.,CCC-SLP/L
- Patrick T Lally, MD
- Land - West Clinic of Chiropractic, PC (West - Land Clinic of Chiropractic)
- Patrick Joseph Landry, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.