Active NPI
Diana Kathryn Weissbeck, AU.D
- Audiologist-Hearing Aid Fitter
- Minneapolis, MN
National Provider Identifier
1265885149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 9738
- Practice address
- 2211 Park Ave
Minneapolis, MN 55404-3711 - Phone
- (612) 871-1144
- NPI assigned
- Jul 15, 2016
- 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 | 80770 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | 9738 | MN | Primary |
Addresses
Primary practice location
2211 Park Ave
Minneapolis, MN 55404-3711
Mailing address
2211 Park Ave
Minneapolis, MN 55404-3711
Phone (612) 871-1144
Other practice location 1
6525 France Ave S Ste 325
Edina, MN 55435-2187
Phone (952) 920-4595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9738 | MN | MD | Audiologist-Hearing Aid Fitter |
| 80770 | TX | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265885149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-871-1144",
"fax_number": "612-871-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-871-1144"
}
],
"practiceLocations": [
{
"address_1": "6525 France Ave S Ste 325",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554352187",
"country_code": "US",
"telephone_number": "952-920-4595",
"fax_number": "952-920-7958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISSBECK",
"first_name": "DIANA",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80770",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MN",
"license": "9738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.