Individual provider Active NPI

Audrey J Kunz, CCC-SLP, NYS LICENSE

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1265749600
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004022 Issued in NY
Practice address
50 E North St
Buffalo, NY 14203-1002
Phone
(716) 885-8318
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004022 NY Primary

Addresses

Primary practice location

50 E North St
Buffalo, NY 14203-1002

Mailing address

853 Tifft St
Buffalo, NY 14220-1816
Phone (716) 825-8392

Other identifiers 1

IdentifierTypeStateIssuer
004022OtherNYSPEECH-LANGUAGE AND AUDIOLOGY LICENSING BOARD

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

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1265749600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 TIFFT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201816",
            "telephone_number": "716-825-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031002",
            "telephone_number": "716-885-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "AUDREY",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "CCC-SLP, NYS LICENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE AND AUDIOLOGY LICENSING BOARD",
            "identifier": "004022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.