Active NPI
Krista Anna Marie Kunkle
- Licensed Practical Nurse
- Youngstown, OH
National Provider Identifier
1447074075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.188130
- Practice address
- 8400 Market St
Youngstown, OH 44512-6724 - Phone
- (330) 953-3255
- NPI assigned
- Nov 11, 2024
- Last updated
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.188130 | OH | Primary |
Addresses
Primary practice location
8400 Market St
Youngstown, OH 44512-6724
Mailing address
399 E Martin St
East Palestine, OH 44413-2341
Phone (330) 716-8291
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 |
|---|---|---|---|
| LPN.188130 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McClurg Senior Care LLC | Current | Accepting new patients |
Locations
8400 Market St
Youngstown, OH 44512
Phone (330) 726-5790
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1447074075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 E MARTIN ST",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "444132341",
"telephone_number": "330-716-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 MARKET ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445126724",
"telephone_number": "330-953-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKLE",
"first_name": "KRISTA",
"middle_name": "ANNA MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.188130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.