Diane Koglin, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

3930 Issued in SC

Practice address

4 Camelback Rd
Greenville, SC 29617-7335

Phone

(864) 434-1228

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Diane Koglin

  • Hearing Aid Equipment
  • Westminster, SC
  • NPI 1770864522
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1043398514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAMELBACK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296177335",
            "telephone_number": "864-434-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CAMELBACK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296177335",
            "telephone_number": "864-434-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGLIN",
        "first_name": "DIANE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000077",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "3930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/DISPENSING",
            "identifier": "54-0-C2-0269",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/TESTING",
            "identifier": "64-0-C2-2601",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q373590281",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000551641",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1394",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Koch, CCC-SLP
• Serena Wormald Kocourek, NP
• Kevin Koehler, MD
• Matthew Brian Kofoed, MD
• Sharon E Kofoed, MD
• Beth Kohout
• Jackson Kisuke Kojima, PT, DPT
• Russ Carl Kolarik, M.D.
• Sia Komba, NURSE PRACTITIONER
• Katherine Konchalski

• Audiologist-Hearing Aid Fitter in Greenville, SC
• Providers in Greenville, SC by specialty
• Audiologist-Hearing Aid Fitter in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.