Individual provider Active NPI

Kira Suzanne Vonblon, MA

  • Audiologist
  • Carmel, IN
National Provider Identifier
1467478487
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002232A Issued in IN
Practice address
12065 Old Meridian St
Suite 205
Carmel, IN 46032
Phone
(317) 705-2700
Fax
(317) 575-3797
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002232A IN Primary

Addresses

Primary practice location

12065 Old Meridian St
Suite 205
Carmel, IN 46032

Mailing address

12065 Old Meridian St
Suite 205
Carmel, IN 46032
Phone (317) 705-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000074 IN Practitioner - Qualified Audiologist 6406922095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23002232AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside ENT, Inc Audiologist CurrentSince Jul 1, 2008 Accepting new patients
Meridian Audiology Audiologist CurrentSince May 1, 2022 Accepting new patients

Locations

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

911 E 86th St
Ste 35
Indianapolis, IN 46240
Phone (317) 475-1112

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1467478487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN ST",
            "address_2": "SUITE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-705-2700",
            "fax_number": "317-575-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN ST",
            "address_2": "SUITE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-705-2700",
            "fax_number": "317-575-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONBLON",
        "first_name": "KIRA",
        "middle_name": "SUZANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.