COMPLETE CARE AUDIOLOGY INC. (NPI# 1770539694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770539694 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE AUDIOLOGY INC. |
| Other Organization Name | BOISE SPEECH AND HEARING CLINIC |
| Practice Address |
13176 Persimmon Ln # 120 Boise ID 83713-1986 |
| Practice Telephone | 2083763591 |
| Practice Fax Number | 2083763594 |
| Mailing Telephone | 2083763591 |
| Mailing Fax Number | 2083763594 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | BREK D STOKER (OWNER) |
| Authorized Official Telephone | 2083763591 |
| Authorized Official Credential | AUD CCCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | H412 | ID | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD OF IDAHO | 000010143633 | 01 |
| ID | BLUE CROSS | AU191 | 01 |
| Other Name | Type Code |
|---|---|
| Boise Speech and Hearing Clinic | Doing Business As Name - Organization |
| Street Address |
13176 PERSIMMON LN # 120 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
| 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.