Individual provider Active NPI

Lori Kunicki, A.A.S BC-HIS

  • Hearing Instrument Specialist
  • North Las Vegas, NV
National Provider Identifier
1184097404
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
387 Issued in NV
Practice address
5710 Simmons St Ste 120
North Las Vegas, NV 89031-7281
Phone
(702) 990-9409
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 387 NV Primary

Addresses

Primary practice location

5710 Simmons St Ste 120
North Las Vegas, NV 89031-7281

Mailing address

5710 Simmons St Ste 120
North Las Vegas, NV 89031-7281
Phone (702) 990-9409

Other identifiers 1

IdentifierTypeStateIssuer
387OtherNVHEARING AID SPECIALIST LICENSE

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)
Not enrolled
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
387NVMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1184097404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SIMMONS ST STE 120",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890317281",
            "telephone_number": "702-990-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SIMMONS ST STE 120",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890317281",
            "telephone_number": "702-990-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNICKI",
        "first_name": "LORI",
        "credential": "A.A.S BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID SPECIALIST LICENSE",
            "identifier": "387",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.