Individual provider Active NPI

Diana M. Vigil, AU.D.,CCC-A

  • Audiologist-Hearing Aid Fitter
  • Albuquerque, NM
National Provider Identifier
1730149493
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2247 Issued in NM
Practice address
7801 Academy Rd NE Ste 102
Albuquerque, NM 87109-3379
Phone
(505) 796-4575
Fax
(505) 796-4575
NPI assigned
Mar 27, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 2247 NM
Audiologist-Hearing Aid Fitter 237600000X 2247 NM Primary

Addresses

Primary practice location

7801 Academy Rd NE Ste 102
Albuquerque, NM 87109-3379

Mailing address

2060 Main St NE Ste a
Los Lunas, NM 87031-6368
Phone (505) 916-5977

Other names 1

  • Diana Callison Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512001069 NM Practitioner - Qualified Audiologist 8820048283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hearing Group of New Mexico, LLCGroup PAC ID 2860552940, 2 clinicians

Practice addresses (Care Compare)

2060 Main St NE
Suite a
Los Lunas, NM 87031-6368
Phone (505) 916-5977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2247NMMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Group of New Mexico, LLC Audiologist CurrentSince Sep 1, 2011 Accepting new patients
Better Hearing Audiology, LLC Audiologist PastSince Mar 20, 2022 Accepting new patients

Locations

5005 Prospect Ave NE
Ste C
Albuquerque, NM 87110
Phone (505) 247-4466

2060 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 247-4466

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1730149493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 MAIN ST NE STE A",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316368",
            "telephone_number": "505-916-5977",
            "fax_number": "505-916-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ACADEMY RD NE STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093379",
            "telephone_number": "505-796-4575",
            "fax_number": "505-796-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "DIANA",
        "middle_name": "M.",
        "credential": "AU.D.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "2247",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CALLISON",
            "credential": "M.S., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

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