MS. ELIZABETH KENETTE ELLIN (NPI# 1932272127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932272127 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH KENETTE ELLIN |
| Other Name | MS. KENETTE ELLIN |
| Credential | NBC-HIS |
| 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 | 237700000X | Hearing Instrument Specialist | HA-182 | ID | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 4414100 | 05 |
| Street Address |
4155 YELLOWSTONE AVE PINE RIDGE MALL |
| City | POCATELLO |
| State | ID |
| Zip Code | 83202-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437222668 | Kelley J Olenick | Audiologist-Hearing Aid Fitter | 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 | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043595333 | Richard Joe Davis | Hearing Instrument Specialist | 703 E Alameda Rd, Pocatello, ID 83201-3659 | 2011-10-18 |
| 1346544319 | Barry D Finlay | Hearing Instrument Specialist | 2350 Via Caporatti Dr, Suite B, Pocatello, ID 83201-5095 | 2011-01-05 |
| 1386091387 | Sabrina Tallon | Hearing Instrument Specialist | 444 Hospital Way, Pocatello, ID 83201-2745 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253233 | Miller Organization LLC | Hearing Instrument Specialist | 7974 W Fairview Ave, Boise, ID 83704-8421 | 2020-10-22 |
| 1043827603 | Kellee Newman | Hearing Instrument Specialist | 5513 N Glenwood St Ste B, Boise, ID 83714-1332 | 2020-09-28 |
| 1861005191 | Aaron Gabrielsen | Hearing Instrument Specialist | 2635 Caldwell Blvd Ste 102, Nampa, ID 83651-6407 | 2020-08-26 |
| 1578191615 | Alderson Audiology LLC | Hearing Instrument Specialist | 943 W Overland Rd # 116, Meridian, ID 83642-6541 | 2020-04-01 |
| 1740817378 | Patrick Brown | Hearing Instrument Specialist | 1740 N Milwaukee St Ste A, Boise, ID 83704-7107 | 2020-03-24 |
| 1992332688 | Khayman Stauffer | Hearing Instrument Specialist | 4696 W Overland Rd Ste 216, Boise, ID 83705-2864 | 2020-03-24 |
| 1649819756 | Kevin Horne | Hearing Instrument Specialist | 750 S Progress Ave, Meridian, ID 83642-4821 | 2020-01-06 |
| 1366009771 | Arleta Holmes | Hearing Instrument Specialist | 3911 N Schreiber Way, Coeur D Alene, ID 83815-8395 | 2019-05-21 |
| 1235603630 | Nathan Scott West | Hearing Instrument Specialist | 3330 N Meridian Rd, Meridian, ID 83646-6065 | 2019-01-18 |
| 1225525819 | Jamie Stone | Hearing Instrument Specialist | 1534 Overland Ave, Burley, ID 83318-1850 | 2018-04-18 |
| 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.