Active NPI
Kathleen Wezensky, AU .D
- Audiologist
- Cheboygen, MI
National Provider Identifier
1033895958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601001123
- Practice address
- 10595 N. Straits Hwy
Cheboygen, MI 49721 - Phone
- (231) 333-5118
- NPI assigned
- Jun 26, 2023
- Reactivated
- Mar 21, 2024
- Last updated
- Mar 21, 2024
- 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 | 1601001123 | MI | Primary |
Addresses
Primary practice location
10595 N. Straits Hwy
Cheboygen, MI 49721
Mailing address
6873 E. Beal City Rd
Mt. Pleasant, MI 48858
Phone (989) 621-1294
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Michigan Audiology LLC | Audiologist | Current | Accepting new patients |
| William J. Steinbach D.C.,P.C. | Current | Accepting new patients |
Locations
647 W Warwick Dr
Alma, MI 48801
Phone (989) 463-0951
8434 M 119
Harbor Springs, MI 49740
Phone (231) 347-1917
1290 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 773-1209
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1033895958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6873 E. BEAL CITY RD",
"city": "MT. PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-621-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10595 N. STRAITS HWY",
"city": "CHEBOYGEN",
"state": "MI",
"postal_code": "49721",
"telephone_number": "231-333-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEZENSKY",
"first_name": "KATHLEEN",
"credential": "AU .D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2024-03-21",
"certification_date": "2023-07-06",
"deactivation_date": "2024-03-14",
"reactivation_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601001123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.