Toni Marie Landau, MA CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003747 Issued in GA

Practice address

20 Glenlake Dr
Sandy Springs, GA 30328

Phone

(770) 677-6135

NPI assigned

Apr 29, 2008

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Toni Marie Kunkel Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group NPD
• Ear Consultants of Georgia

  • Specialist
  • Atlanta, GA
  • NPI 1902952138
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1730354770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT ROAD NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "770-677-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GLENLAKE DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-677-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "TONI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "20 Glenlake Dr",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "KUNKEL",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vidusha Kumar
• Danielle Kuthuru, CRNP
• Paul Kwon, PHARMD
• Joseph Elliott Ladaga
• Lanathya Lafond
• Brandon Landry, PSYD
• Vanessa Renee Lane, PT, DPT
• Valery E.E Laroche, MMP
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• Amanda Celeste Lawson

• Audiologist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.