DR. KELLEY J OLENICK (NPI# 1437222668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437222668 |
| Entity Type | Individual |
| Full Name | DR. KELLEY J OLENICK |
| Credential | AU.D. |
| Practice Address |
4155 Yellowstone Ave Pine Ridge Mall Pocatello ID 83202-2345 |
| Practice Telephone | 2082380020 |
| Practice Fax Number | 2082380021 |
| Mailing Telephone | 2082380020 |
| Mailing Fax Number | 2082380021 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | H-243 | ID | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS GRP #AU-365 | AU-449 | 01 |
| ID | BLUE SHIELD OF ID | 000010150424 | 01 |
| ID | WA DEPT OF LABOR | 0174362 | 01 |
| ID | REGENCE BCBS | 000010141365 | 01 |
| ID | BLUE CROSS OF ID | AU-456 | 01 |
| Street Address |
4155 YELLOWSTONE AVE PINE RIDGE MALL |
| City | POCATELLO |
| State | ID |
| Zip Code | 83202-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932272127 | Elizabeth Kenette Ellin | Hearing Instrument Specialist | 4155 Yellowstone Ave, Pine Ridge Mall, Pocatello, ID 83202-2345 | 2006-11-16 |
| 1154494037 | Caroline J Kerr | Audiologist-Hearing Aid Fitter | 4155 Yellowstone Ave, Pine Ridge Mall, Pocatello, ID 83202-2345 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568550598 | Ronald James Conlin | Audiologist-Hearing Aid Fitter | 804 Yellowstone Ave, Pocatello, ID 83201-4415 | 2006-10-11 |
| 1447503024 | Deborah Michelle Vieira | Audiologist-Hearing Aid Fitter | 921 S 8th Ave Stop 8116, Pocatello, ID 83209-2545 | 2012-10-19 |
| 1427183482 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 289 Jefferson Ave, Pocatello, ID 83201-3922 | 2007-02-22 |
| 1154494037 | Caroline J Kerr | Audiologist-Hearing Aid Fitter | 4155 Yellowstone Ave, Pine Ridge Mall, Pocatello, ID 83202-2345 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904959 | Health Services Seattle LLC | Audiologist-Hearing Aid Fitter | 1059 E Iron Eagle Dr Ste 175, Eagle, ID 83616-6855 | 2018-08-29 |
| 1518346816 | David W. Wood | Audiologist-Hearing Aid Fitter | 2840 Juniper Dr, Lewiston, ID 83501-4719 | 2015-05-20 |
| 1649663220 | Hearing Connection, Inc. | Audiologist-Hearing Aid Fitter | 4121 W State St, Boise, ID 83703-4438 | 2015-03-06 |
| 1639477094 | Mark Banks | Audiologist-Hearing Aid Fitter | 1927 Idaho St, Lewiston, ID 83501-2563 | 2011-03-09 |
| 1831490507 | E Jolene Lund | Audiologist-Hearing Aid Fitter | 1970 E 17th St Ste 119, Idaho Falls, ID 83404-8046 | 2010-11-10 |
| 1528205705 | Matthew Stephen Murphy | Audiologist-Hearing Aid Fitter | 5513 N Glenwood St, Suite B, Boise, ID 83714-1332 | 2009-01-09 |
| 1154578730 | Jay C Lloyd | Audiologist-Hearing Aid Fitter | 730 North College, Suite B, Twin Falls, ID 83301-3382 | 2008-08-26 |
| 1700924263 | Brent W Bowman | Audiologist-Hearing Aid Fitter | 130 Mill Rd, Horseshoe Bend, ID 83629-5103 | 2007-02-04 |
| 1790785327 | April Anne Ward | Audiologist-Hearing Aid Fitter | 520 S Eagle Rd Ste 1225, Meridian, ID 83642-6355 | 2005-07-26 |
| 1073156568 | Ncd Financial, LLC | Audiologist-Hearing Aid Fitter | 3911 N Schreiber Way, Coeur D Alene, ID 83815-8395 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.