Active NPI
Tracy Diehm, BC-HIS
- Hearing Instrument Specialist
- Mount Horeb, WI
National Provider Identifier
1033589007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 525
- Practice address
- 128 S 1St St
Mount Horeb, WI 53572-1949 - Phone
- (608) 285-2772
- NPI assigned
- Oct 2, 2015
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 525 | NV | Primary |
Addresses
Primary practice location
128 S 1St St
Mount Horeb, WI 53572-1949
Mailing address
128 S 1St St
Mount Horeb, WI 53572-1949
Phone (082) 852-7726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAS-525 | Other | NV | NEVADA SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENSING BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1033589007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 S 1ST ST",
"city": "MOUNT HOREB",
"state": "WI",
"postal_code": "535721949",
"telephone_number": "082-852-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S 1ST ST",
"city": "MOUNT HOREB",
"state": "WI",
"postal_code": "535721949",
"telephone_number": "608-285-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHM",
"first_name": "TRACY",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NV",
"license": "525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENSING BOARD",
"identifier": "HAS-525",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Horeb, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.