Organization Active NPI

The Crunchy Allergist, LLC Dba Immune Confident Institute

  • Allergy & Immunology Physician
  • Columbus, OH
National Provider Identifier
1760352512
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
THE CRUNCHY ALLERGIST, LLC DBA IMMUNE CONFIDENT INSTITUTE
Practice address
4618 Sawmill Rd
Columbus, OH 43220-2247
Phone
(740) 954-6278
Fax
(740) 730-4175
NPI assigned
Nov 7, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Kara Jane Wada, MDNPI 1942525407
Title
Ceo/Physician
Phone
(309) 550-4273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

4618 Sawmill Rd
Columbus, OH 43220-2247

Mailing address

4618 Sawmill Rd
Columbus, OH 43220-2247
Phone (740) 954-6278

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1760352512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202247",
            "telephone_number": "740-954-6278",
            "fax_number": "740-730-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202247",
            "telephone_number": "740-954-6278",
            "fax_number": "740-730-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CRUNCHY ALLERGIST, LLC DBA IMMUNE CONFIDENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "WADA",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "309-550-4273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.