Individual provider Active NPI

Diana Warncke, AUD

  • Audiologist
  • Jacksonville, FL
National Provider Identifier
1720430291
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2932 Issued in FL
Practice address
5960 Beach Blvd Ste 1
Jacksonville, FL 32207-5113
Phone
(904) 399-3323
Fax
(904) 399-3360
NPI assigned
Jul 8, 2016
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SLP-AU-LIC-11721 MT
Audiologist 231H00000X DA10086 AZ
Audiologist-Hearing Aid Fitter 237600000X
Audiologist 231H00000X AY2932 FL Primary

Addresses

Primary practice location

5960 Beach Blvd Ste 1
Jacksonville, FL 32207-5113

Mailing address

5960 Beach Blvd Ste 1
Jacksonville, FL 32207-5113
Phone (904) 399-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160727000494 AZ Practitioner - Qualified Audiologist 0840583902
I20260113004141 FL Practitioner - Qualified Audiologist 0840583902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Cottontail LN
Somerset, NJ 08873-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2932FLMDAudiologist
SLP-AU-LIC-11721MTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Nov 5, 2023 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 3, 2016 Accepting new patients
Cigna Health Care of Arizona Inc CurrentSince Oct 3, 2016 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Audiology Services Company USA, LLC CurrentSince Nov 5, 2023 Accepting new patients

Locations

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

13820 Old Saint Augustine Rd
Ste 153
Jacksonville, FL 32258
Phone (904) 900-7564

5960 Beach Blvd
Ste 1
Jacksonville, FL 32207
Phone (904) 399-3323

640 3rd St N
#1
Jacksonville Beach, FL 32250
Phone (904) 372-9171

5147 N 9th Ave
Ste 315
Pensacola, FL 32504
Phone (850) 473-0112

3819 Murrell Rd
Ste B
Rockledge, FL 32955
Phone (321) 252-1412

1102 9th St S
Great Falls, MT 59405
Phone (406) 727-3115

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 5

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1720430291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 BEACH BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075113",
            "telephone_number": "904-399-3323",
            "fax_number": "904-399-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 BEACH BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075113",
            "telephone_number": "904-399-3323",
            "fax_number": "904-399-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNCKE",
        "first_name": "DIANA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "SLP-AU-LIC-11721",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA10086",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.