Individual provider Active NPI

Diana Rachel Oaks, M.A., CCC-A, FAAA

  • Audiologist
  • Greeley, CO
National Provider Identifier
1437295235
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001109 Issued in CO
Practice address
2018 35TH Ave # 80634
Greeley, CO 80634-3966
Phone
(970) 330-7374
NPI assigned
Jan 29, 2007
Reactivated
Apr 22, 2016
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000344 MI
Audiologist 231H00000X AUD.0001109 CO Primary

Addresses

Primary practice location

2018 35TH Ave # 80634
Greeley, CO 80634-3966

Mailing address

308 Shenandoah Way
Lochbuie, CO 80603-7769
Phone (906) 250-3033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025001823 CO Practitioner - Qualified Audiologist 3779805718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AUD.0001109COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

7850 Vance Dr
Ste 195
Arvada, CO 80003
Phone (303) 432-3601

7200 S Alton Way
Ste B140
Centennial, CO 80112
Phone (303) 649-2122

2018 35th Ave
Ste A
Greeley, CO 80634
Phone (970) 330-7374

618 East Star Ct
Montrose, CO 81401
Phone (970) 249-3971

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1437295235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SHENANDOAH WAY",
            "city": "LOCHBUIE",
            "state": "CO",
            "postal_code": "806037769",
            "telephone_number": "906-250-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 35TH AVE # 80634",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343966",
            "telephone_number": "970-330-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKS",
        "first_name": "DIANA",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "deactivation_date": "2015-07-14",
        "reactivation_date": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000344",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.