Individual provider Active NPI

Kathryn Jo Bunker, AU.D.

  • Audiologist
  • Manhattan, KS
National Provider Identifier
1477990752
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2237 Issued in KS
Practice address
1133 College Ave
Suite C145
Manhattan, KS 66502-2751
Phone
(785) 320-7388
Fax
(785) 320-6056
NPI assigned
May 28, 2013
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2237 KS Primary

Addresses

Primary practice location

1133 College Ave
Suite C145
Manhattan, KS 66502-2751

Mailing address

1133 College Ave
Suite C145
Manhattan, KS 66502-2751
Phone (785) 320-7388

Other names 1

  • Miss Kathryn Jo Johnson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000314 KS Practitioner - Qualified Audiologist 6002056140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Audiology IncGroup PAC ID 5193965234, 2 clinicians

Practice addresses (Care Compare)

1133 College Ave
Suite C145
Manhattan, KS 66502-2721
Phone (785) 320-7388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Audiology Inc Audiologist CurrentSince May 14, 2013 Accepting new patients
Advanced Audiology Inc Current Accepting new patients
Ears LLC Audiologist Current Accepting new patients

Locations

1111 N Brady St
Abilene, KS 67410
Phone (785) 263-4131

310 W 8th St
Beloit, KS 67420
Phone (785) 738-5175

1133 College Ave
Ste C145
Manhattan, KS 66502
Phone (785) 320-7388

Organizations & group practices 3

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1477990752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE C145",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022751",
            "telephone_number": "785-320-7388",
            "fax_number": "785-320-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE C145",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022751",
            "telephone_number": "785-320-7388",
            "fax_number": "785-320-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKER",
        "first_name": "KATHRYN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JOHNSON",
            "middle_name": "JO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.