Individual provider Active NPI

Kathleen Wezensky, AU .D

  • Audiologist
  • Cheboygen, MI
National Provider Identifier
1033895958
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001123 Issued in MI
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Central Michigan Audiology LLC Audiologist CurrentSince Apr 3, 2024 Accepting new patients
William J. Steinbach D.C.,P.C. CurrentSince Jul 1, 2023 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.

Verify at the official NPI Registry.