Stacey D Dimond, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

578-156 Issued in WI

Practice address

1440 Oneida St
N
Appleton, WI 54915-7101

Phone

(920) 731-9579

NPI assigned

Sep 15, 2009

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Concepts LLCGroup PAC ID 9830469766, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Audiology Concepts, LLC

  • Audiologist
  • Edina, MN
  • NPI 1710413547
  Medicare reassignment Care Compare group NPD
• Audiology Concepts, LLC

  • Audiologist
  • Forest Lake, MN
  • NPI 1710612320
  NPD
• Fox Valley Hearing Center

  • Hearing Aid Equipment
  • Oshkosh, WI
  • NPI 1194841296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1861725418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 OAKVIEW DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561744",
            "telephone_number": "651-285-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ONEIDA ST",
            "address_2": "N",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157101",
            "telephone_number": "920-731-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "STACEY",
        "middle_name": "D",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "8548",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "578-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy C Dietzen
• Different Perspectives Counseling, LLC
• Dignity Counseling Collective LLC
• Jean E Dill, APNP
• Dimensions Living Appleton, LLC (Dimensions Living Appleton)
• Lori Ann Dissen, PTA, CWT
• Ruth Elizabeth Dixon, DC
• Erica Marie Dobberfuhl, LCSW
• Joan L. Dobberstein, P.T.
• Kate Dobberstein

• Audiologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.