Provider Demographics
NPI:1437295235
Name:OAKS, DIANA RACHEL (MA, CCC-A, FAAA)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:RACHEL
Last Name:OAKS
Suffix:
Gender:F
Credentials:MA, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 SHENANDOAH WAY
Mailing Address - Street 2:
Mailing Address - City:LOCHBUIE
Mailing Address - State:CO
Mailing Address - Zip Code:80603-7769
Mailing Address - Country:US
Mailing Address - Phone:906-250-3033
Mailing Address - Fax:
Practice Address - Street 1:2018 35TH AVE # 80634
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3966
Practice Address - Country:US
Practice Address - Phone:970-330-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2022-08-01
Deactivation Date:2015-07-14
Deactivation Code:
Reactivation Date:2016-04-22
Provider Licenses
StateLicense IDTaxonomies
MI1601000344231H00000X
COAUD.0001109231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700F399670OtherBCBSM GROUP PIN
MI700F399670OtherBCBSM GROUP PIN
MI700F399670OtherBCBSM GROUP PIN
MIMI5551Medicare PIN