Individual provider Active NPI

Kathy Wesniak

  • Hearing Instrument Specialist
  • Vernon, CT
National Provider Identifier
1356646731
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
27 Hartford Tpke Ste 83
Vernon, CT 06066-5245
Phone
(860) 646-7900
Fax
(860) 646-7792
NPI assigned
Jan 17, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X CT
Hearing Instrument Specialist 237700000X 66 MA
Hearing Instrument Specialist 237700000X CT Primary

Addresses

Primary practice location

27 Hartford Tpke Ste 83
Vernon, CT 06066-5245

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

24 Park Ave
Worcester, MA 01605
Phone (508) 753-8155

Other practice location 2

111 Hazard Ave
Enfield, CT 06082-4590
Phone (860) 749-8252

Other practice location 3

24 Park Ave
Worcester, MA 01605
Phone (508) 753-8155

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
66MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New England Hearing and Balance Inc. Hearing Instrument Specialist PastSince May 22, 2016 Accepting new patients
Szabar, Inc. Hearing Instrument Specialist Past Accepting new patients

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": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356646731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HARTFORD TPKE STE 83",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665245",
            "telephone_number": "860-646-7900",
            "fax_number": "860-646-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01605",
            "country_code": "US",
            "telephone_number": "508-753-8155",
            "fax_number": "508-797-9524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824590",
            "country_code": "US",
            "telephone_number": "860-749-8252",
            "fax_number": "860-749-6663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01605",
            "country_code": "US",
            "telephone_number": "508-753-8155",
            "fax_number": "508-797-9524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESNIAK",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "66",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

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.

Verify at the official NPI Registry.