Kimballi P Startz, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAD00124 Issued in RI

Practice address

3520 Post Rd
Warwick, RI 02886

Phone

(401) 921-0181

Fax

(401) 921-5826

NPI assigned

May 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• ENT and Allergy Inc

  • Otolaryngology Physician
  • Warwick, RI
  • NPI 1619024130
  NPD

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1942568621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867140",
            "telephone_number": "401-921-0181",
            "fax_number": "401-921-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-921-0181",
            "fax_number": "401-921-5826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Long Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063404149",
            "country_code": "US",
            "telephone_number": "860-326-5518",
            "fax_number": "860-326-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARTZ",
        "first_name": "KIMBALLI",
        "middle_name": "P",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "000322",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "RI",
            "license": "HAD00124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "261116920",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phs@entdocri.com",
            "affiliation": "N",
            "address_1": "3520 Post Rd",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028867140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Squires, PHD, MPH
• Sr Behavior Consulting LLC
• Sandhya Srinivasa, DO
• Matthew Shane Donnelly St Germain, RN, LMT
• Samantha Stambach, LICSW
• Statewide Health Services Inc
• Kyle C Stearns
• Kristin L Stefanik, MS, CCC-SLP
• Emily Stefanski
• Darryle Steinberg

• Hearing Instrument Specialist in Warwick, RI
• Providers in Warwick, RI by specialty
• Hearing Instrument Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.