Individual provider Active NPI

Alice Ann Kortyka, M.A-FAAA

  • Audiologist
  • Cincinnati, OH
National Provider Identifier
1184755506
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00741 Issued in OH
Practice address
7691 Five Mile Rd
Suite 305
Cincinnati, OH 45230-4100
Phone
(513) 233-9560
Fax
(513) 232-2999
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00741 OH Primary

Addresses

Primary practice location

7691 Five Mile Rd
Suite 305
Cincinnati, OH 45230-4100

Mailing address

960 E Apple Gate
Cincinnati, OH 45245-7040
Phone (513) 843-6923

Other identifiers 2

IdentifierTypeStateIssuer
000000202310OtherOHAUDIOLOGIST
000000241762OtherOHAUDIOLOGIST- HEARING AID

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

State licenses

LicenseStateTypeSpecialty
A00741OHMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1184755506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E APPLE GATE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452457040",
            "telephone_number": "513-843-6923",
            "fax_number": "513-232-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 FIVE MILE RD",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304100",
            "telephone_number": "513-233-9560",
            "fax_number": "513-232-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTYKA",
        "first_name": "ALICE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A-FAAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "000000202310",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST- HEARING AID",
            "identifier": "000000241762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.