TETON HEARING CENTER LLC (NPI# 1659523694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659523694 |
| Entity Type | Organization |
| Organization Name | TETON HEARING CENTER LLC |
| Practice Address |
50 Ski Hill Rd. Driggs ID 83422 |
| Mailing Address |
P.o. Box 692 Driggs ID 83422 |
| Practice Telephone | 2085698787 |
| Practice Fax Number | 2083542656 |
| Mailing Telephone | 2085698787 |
| Mailing Fax Number | 2083542656 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | ELIZA S. PETERSEN (MANAGER/MEMBER/AUDIOLOGIST) |
| Authorized Official Telephone | 2085698787 |
| Authorized Official Credential | M.A. CCC-A FAAA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | AUD1142 | ID | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | A-974 | WY | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | AUD1142 | ID | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | A-974 | WY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807694600 | 05 | |
| WY | 125563100 | 05 |
| Street Address |
50 SKI HILL RD. |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1093205684 | Jennifer Lynn Mccrillis | Counselor | 1300 Arrowhead Plaza, Driggs, ID 83422 | 2018-05-18 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| Find all providers in zip 83422 | ||||
| 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 |
|---|---|---|---|---|
| 1710502281 | Skylar M Mcsorley | Audiologist | 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 | 2020-06-10 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1376100966 | Mary Konneker | Audiologist | 625 Pole Line Rd W, Twin Falls, ID 83301-4268 | 2019-05-20 |
| 1518521723 | Hearing Doctors of Idaho, LLC | Audiologist | 459 Locust St N Ste 110, Twin Falls, ID 83301-7324 | 2019-04-24 |
| 1902328495 | Jacob Scott Diller | Audiologist | 5513 N Glenwood St Ste D, Boise, ID 83714-1332 | 2017-07-17 |
| 1538692249 | Russell Clark | Audiologist | 3101 E State St Ste 2108, Eagle, ID 83616-6232 | 2017-04-10 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1083069488 | Makenzi Gwinn | Audiologist | 777 Hospital Way Ste 115, Pocatello, ID 83201-5175 | 2016-05-04 |
| 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 |
| 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.