Active NPI
Kristin Kucala, BS
- Hearing Instrument Specialist
- Sycamore, IL
National Provider Identifier
1679134605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3220
- Practice address
- 519 Dekalb Ave
Sycamore, IL 60178-1719 - Phone
- (815) 899-3010
- Fax
- (815) 895-3962
- NPI assigned
- Jun 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3220 | IL | Primary |
Addresses
Primary practice location
519 Dekalb Ave
Sycamore, IL 60178-1719
Mailing address
462 Roosevelt Rd
Glen Ellyn, IL 60137-5611
Phone (630) 469-6061
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3220 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marans Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| MLM USA LLC | Hearing Instrument Specialist | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- Glen Ellyn, IL
- NPI 1083752315
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1679134605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 ROOSEVELT RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375611",
"telephone_number": "630-469-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 DEKALB AVE",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601781719",
"telephone_number": "815-899-3010",
"fax_number": "815-895-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCALA",
"first_name": "KRISTIN",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.