Individual provider Active NPI

Diane Erdbruegger, M.A., CCC-A

  • Audiologist
  • Greeley, CO
National Provider Identifier
1639164049
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01096644 Issued in CO
Practice address
Unc Speech and Audiology Clinic
Gunter Hall Room 0330
Greeley, CO 80639-0001
Phone
(970) 351-1594
Fax
(970) 351-1601
NPI assigned
Sep 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01096644 CO Primary

Addresses

Primary practice location

Unc Speech and Audiology Clinic
Gunter Hall Room 0330
Greeley, CO 80639-0001

Mailing address

4212 W 14TH Street LN
Greeley, CO 80634-1942
Phone (970) 356-8663

Other identifiers 1

IdentifierTypeStateIssuer
74008072MedicaidCO

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01096644COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Northern Colorado Audiologist CurrentSince Aug 13, 2002 Accepting new patients

Locations

501 20th St
#55
Greeley, CO 80639
Phone (970) 351-2012

Gunter Hall
Rm 0330
Greeley, CO 80639

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639164049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W 14TH STREET LN",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341942",
            "telephone_number": "970-356-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC SPEECH AND AUDIOLOGY CLINIC",
            "address_2": "GUNTER HALL ROOM 0330",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806390001",
            "telephone_number": "970-351-1594",
            "fax_number": "970-351-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDBRUEGGER",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "01096644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74008072",
            "state": "CO"
        }
    ],
    "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 Jul 13, 2026; 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.