Active NPI
Karen Frances Munoz, ED.D.
- Audiologist
- Logan, UT
National Provider Identifier
1811078124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000513
- Practice address
- 2620 Old Main Hill
Northern Illinois Univ Speech-Language-Hearing Clinic
Logan, UT 84321 - Phone
- (435) 797-3701
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000513 | IL | Primary |
Addresses
Primary practice location
2620 Old Main Hill
Northern Illinois Univ Speech-Language-Hearing Clinic
Logan, UT 84321
Mailing address
2620 Old Main Hill
Logan, UT 84321
Phone (435) 797-3701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110100070 | Medicaid | UT | |
| KM7045698P | Other | IL | EARLY INTERVENTION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 147000513 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1811078124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 OLD MAIN HILL",
"city": "LOGAN",
"state": "UT",
"postal_code": "84321",
"telephone_number": "435-797-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 OLD MAIN HILL",
"address_2": "NORTHERN ILLINOIS UNIV SPEECH-LANGUAGE-HEARING CLINIC",
"city": "LOGAN",
"state": "UT",
"postal_code": "84321",
"telephone_number": "435-797-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "KAREN",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147000513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110100070",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY INTERVENTION",
"identifier": "KM7045698P",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.