DR. JESSICA RENEE STICH-HENNEN (NPI# 1578840153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578840153 |
| Entity Type | Individual |
| Full Name | DR. JESSICA RENEE STICH-HENNEN |
| Credential | AU.D., F-AAA |
| Practice Address |
510 N 2nd St Suite #201 Boise ID 83702-6077 |
| Practice Telephone | 2084894743 |
| Practice Fax Number | 2084894075 |
| Mailing Telephone | 2084894743 |
| Mailing Fax Number | 2084894075 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD-1736 | ID | Speech, Language and Hearing Service Providers |
| Street Address |
510 N 2ND ST SUITE #201 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323392 | Donald L Weese | Urology | 510 N 2nd St, Ste 103, Boise, ID 83702-6077 | 2005-06-01 |
| 1457977118 | Samantha Brumbach | Audiologist | 510 N 2nd St, Boise, ID 83702-6077 | 2020-06-18 |
| 1700126703 | Nicole D Nord | Physical Therapist | 510 N 2nd St, Suite 201, Boise, ID 83702-6077 | 2013-02-27 |
| 1558635888 | Gayle Anne Hynes | Physical Therapist | 510 N 2nd St, Ste. 201, Boise, ID 83702-6077 | 2012-03-05 |
| 1124391396 | Jill Renee Galanter | Physical Therapist | 510 N 2nd St, Ste 201, Boise, ID 83702-6077 | 2012-02-17 |
| 1376820993 | Alison Lorraine Faber | Audiologist | 510 N 2nd St, Ste. 201, Boise, ID 83702-6077 | 2011-11-10 |
| 1235416892 | Karrie Ann Pargman | Audiologist | 510 N 2nd St, Ste 201, Boise, ID 83702-6077 | 2011-11-10 |
| 1487944716 | Nicholas A. Hutt | Physician Assistant | 510 N 2nd St, Suite 103, Boise, ID 83702-6077 | 2011-04-07 |
| 1124055355 | Kara C Taggart | Urology | 510 N 2nd St, Suite 103, Boise, ID 83702-6077 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1902328495 | Jacob Scott Diller | Audiologist | 5513 N Glenwood St Ste D, Boise, ID 83714-1332 | 2017-07-17 |
| 1902213945 | Sarah Jean Mooseau | Audiologist | 510 N. 2nd Street, Suite 201, Boise, ID 83702 | 2014-07-22 |
| 1184988677 | Jessica Hope Ramos | Audiologist | 2399 E Riverwalk Dr, Boise, ID 83706-5481 | 2012-06-28 |
| 1003017799 | Melanie Vanderpol | Audiologist | 6094 W Emerald Street, Boise, ID 83704-8855 | 2007-05-30 |
| 1588732325 | Cynthia K Olsen | Audiologist | 1740 N. Milwaukee, Boise, ID 83704 | 2006-12-01 |
| 1063589463 | Gerene Hamilton Norton | Audiologist | 12301 W Explorer Dr, Suite 102, Boise, ID 83713-1571 | 2006-11-29 |
| 1770539694 | Complete Care Audiology Inc. | Audiologist | 13176 Persimmon Ln, # 120, Boise, ID 83713-1986 | 2006-05-25 |
| 1366049843 | Idaho Ear Audilolgy | Audiologist | 13900 W Wainwright Dr, Ste 102, Boise, ID 83713 | 2020-10-07 |
| 1457977118 | Samantha Brumbach | Audiologist | 510 N 2nd St, Boise, ID 83702-6077 | 2020-06-18 |
| Find all providers in BOISE | ||||
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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.