Active NPI
Teri Lou Kowal, MA., CCC-A
- Audiologist
- Fairport, NY
National Provider Identifier
1174770390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001521-1
- Practice address
- 41 Oconnor Rd
Fairport, NY 14450-1327 - Phone
- (585) 419-8178
- Fax
- (585) 419-8160
- NPI assigned
- Aug 19, 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 | 001521-1 | NY | Primary |
Addresses
Primary practice location
41 Oconnor Rd
Fairport, NY 14450-1327
Mailing address
41 Oconnor Rd
Fairport, NY 14450-1327
Phone (585) 419-8178
Other names 1
- Ms. Teri Lou Culver
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 |
|---|---|---|---|
| 001521-1 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1174770390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 OCONNOR RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501327",
"telephone_number": "585-419-8178",
"fax_number": "585-419-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 OCONNOR RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501327",
"telephone_number": "585-419-8178",
"fax_number": "585-419-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWAL",
"first_name": "TERI",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "MA., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001521-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERI",
"last_name": "CULVER",
"middle_name": "LOU",
"prefix": "MS.",
"credential": "MA., CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.