Active NPI
Dyanna JM Hamstra Prairie, AU.D.
- Audiologist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002532A
- Practice address
- 901 Macarthur Blvd
Audiology Department
Munster, IN 46321 - Phone
- (219) 836-1600
- Fax
- (219) 703-6776
- NPI assigned
- Jun 4, 2013
- Last updated
- Mar 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 23002532A | IN | |
| Audiologist | 231H00000X | 23002532A | IN | Primary |
Addresses
Primary practice location
901 Macarthur Blvd
Audiology Department
Munster, IN 46321
Mailing address
2601 Beech St
Valparaiso, IN 46383-6008
Phone (219) 464-9580
Other practice location 1
2601 Beech St
Valparaiso, IN 46383-6008
Phone (219) 464-9580
Other practice location 2
1545 W US Highway 30
Schererville, IN 46375-1562
Phone (219) 836-5381
Other names 1
- Dyanna J Hamstra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002532A | IN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| St Mary Medical Center Inc | Current | Accepting new patients | |
| Munster Radiology Group PC | Past | Accepting new patients | |
| St Mary Medical Center Inc | Past | Accepting new patients | |
| Munster Medical Research Foundation Inc | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
1500 S Lake Park Ave
Ste 204
Hobart, IN 46342
Phone (219) 947-6695
1500 S Lake Park Ave
Ste SP404
Hobart, IN 46342
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9660 Wicker Ave
Fl 2
Saint John, IN 46373
Phone (219) 226-2380
1545 W US Highway 30
Schererville, IN 46375
Phone (219) 703-2440
Organizations & group practices 6
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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
- Anesthesiology Physician
- Munster, IN
- NPI 1982653044
-
- Diagnostic Radiology Physician
- Munster, IN
- NPI 1144207101
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1144667825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 BEECH ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836008",
"telephone_number": "219-464-9580",
"fax_number": "219-464-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"address_2": "AUDIOLOGY DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-836-1600",
"fax_number": "219-703-6776"
}
],
"practiceLocations": [
{
"address_1": "2601 Beech St",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463836008",
"country_code": "US",
"telephone_number": "219-464-9580",
"fax_number": "219-464-0640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1545 W US Highway 30",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "463751562",
"country_code": "US",
"telephone_number": "219-836-5381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRAIRIE",
"first_name": "DYANNA",
"middle_name": "JM HAMSTRA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2022-03-08",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IN",
"license": "23002532A",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002532A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DYANNA",
"last_name": "HAMSTRA",
"middle_name": "J",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.