Individual provider Active NPI

Rebecca J Kostelnik, M.A.,CCC/A

  • Audiologist
  • Canton, OH
National Provider Identifier
1447330154
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A 00555 Issued in OH
Practice address
4912 Higbee Ave NW #200
Canton, OH 44718-2530
Phone
(330) 492-2844
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 A 00555 OH Primary

Addresses

Primary practice location

4912 Higbee Ave NW #200
Canton, OH 44718-2530

Mailing address

4912 Higbee Ave NW #200
Canton, OH 44718-2530
Phone (330) 492-2844

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A 00555OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Medical Services, LLC PastSince May 11, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1447330154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 HIGBEE AVE NW #200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182530",
            "telephone_number": "330-492-2844",
            "fax_number": "330-492-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 HIGBEE AVE NW #200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182530",
            "telephone_number": "330-492-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELNIK",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "M.A.,CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A 00555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.