Active NPI
Kathryn Tonkovich II, AUD
- Audiologist
- Bountiful, UT
National Provider Identifier
1437340429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5366406-4101
- Practice address
- Primary Childrens Rehab Bountiful
280 N Main St
Bountiful, UT 84010 - Phone
- (807) 397-8707
- Fax
- (801) 397-8709
- NPI assigned
- Aug 6, 2007
- 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 | 5366406-4101 | UT | Primary |
Addresses
Primary practice location
Primary Childrens Rehab Bountiful
280 N Main St
Bountiful, UT 84010
Mailing address
Primary Childrens Hospital Audiology Dept
100 N Mario Cappecci Dr
Salt Lake City, UT 84113
Phone (801) 662-3277
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5366406-4101 | UT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1437340429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PRIMARY CHILDRENS HOSPITAL AUDIOLOGY DEPT",
"address_2": "100 N MARIO CAPPECCI DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84113",
"telephone_number": "801-662-3277",
"fax_number": "807-662-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRIMARY CHILDRENS REHAB BOUNTIFUL",
"address_2": "280 N MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "84010",
"telephone_number": "807-397-8707",
"fax_number": "801-397-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONKOVICH",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "5366406-4101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.