Shelly Kay Koontz

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1792 Issued in KS

Practice address

1925 Main St
Great Bend, KS 67530-2549

Phone

(620) 603-6445

NPI assigned

Jun 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1801464193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 LAWRENCE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671241438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MAIN ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302549",
            "telephone_number": "620-603-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "SHELLY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Lynn Kelly, T-LPC
• Lindsay Kay Klepper, LPC
• Jane E. Kohrs, PH.D.
• Yashwanth Reddy Komerelli, PHARM.D., MPH
• Connie Sue Konzem
• Christopher Joseph Koster, MD
• Kathleen A Kottas, ARNP
• Leah Kraemer
• Jessica Kraisinger
• Richard D Krause, D.P.M.

• Hearing Instrument Specialist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Hearing Instrument Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.