DR. JACOB SCOTT DILLER (NPI# 1902328495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902328495 |
| Entity Type | Individual |
| Full Name | DR. JACOB SCOTT DILLER |
| Credential | AUD |
| Practice Address |
5513 N Glenwood St Ste D Boise ID 83714-1332 |
| Practice Telephone | 2083756600 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD3216 | ID | Speech, Language and Hearing Service Providers |
| Street Address |
5513 N GLENWOOD ST STE D |
| City | BOISE |
| State | ID |
| Zip Code | 83714-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| 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 |
| 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 |
| 1114455334 | Andrea Suzette Page | Audiologist | 900 N Liberty St, Boise, ID 83704-8704 | 2017-06-01 |
| 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.