Individual provider Active NPI

Dyanna JM Hamstra Prairie, AU.D.

  • Audiologist
  • Munster, IN
National Provider Identifier
1144667825
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002532A Issued in IN
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000735 IN Practitioner - Qualified Audiologist 4486897956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002532AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Jul 1, 2018 Accepting new patients
University of Chicago Current Accepting new patients
St Mary Medical Center Inc CurrentSince May 1, 2022 Accepting new patients
Munster Radiology Group PC PastSince Jul 1, 2018 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.

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.

Verify at the official NPI Registry.