Individual provider Active NPI

Suzanne Krumenacker, AU.D.

  • Audiology Assistant
  • San Diego, CA
National Provider Identifier
1538697487
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
License
AU1713 Issued in CA
Practice address
16486 Bernardo Center Dr Ste 338
San Diego, CA 92128-2530
Phone
(858) 829-4812
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355A2700X AU1713 CA Primary

Addresses

Primary practice location

16486 Bernardo Center Dr Ste 338
San Diego, CA 92128-2530

Mailing address

403 Boudinot CT
Escondido, CA 92027-6224
Phone (858) 829-4812

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

LicenseStateTypeSpecialty
AU1713CAMDAudiology Assistant

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1538697487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BOUDINOT CT",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920276224",
            "telephone_number": "858-829-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16486 BERNARDO CENTER DR STE 338",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282530",
            "telephone_number": "858-829-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMENACKER",
        "first_name": "SUZANNE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "CA",
            "license": "AU1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.