Active NPI
Katherine Kunstel, PA
- Medical Physician Assistant
- New Haven, CT
National Provider Identifier
1457673980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 002376
- Practice address
- 20 York St CB 2041
Ynh Medical Services PC
New Haven, CT 06510 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Feb 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 002376 | CT | Primary |
Addresses
Primary practice location
20 York St CB 2041
Ynh Medical Services PC
New Haven, CT 06510
Mailing address
20 York St CB 2041
Ynh Medical Services PC
New Haven, CT 06510
Phone (203) 688-4748
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5399 | OH | MD | Optometrist |
Interoperability endpoints
- kak9072@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1457673980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST CB 2041",
"address_2": "YNH MEDICAL SERVICES PC",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST CB 2041",
"address_2": "YNH MEDICAL SERVICES PC",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNSTEL",
"first_name": "KATHERINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "002376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.