Active NPI
Mayra Moran, AUD
- Audiologist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5381309
- Practice address
- 6094 W Emerald St
Boise, ID 83704-8855 - Phone
- (208) 302-1000
- Fax
- (208) 302-1035
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 14226902-4101 | UT | |
| Audiologist | 231H00000X | 5381309 | ID | Primary |
Addresses
Primary practice location
6094 W Emerald St
Boise, ID 83704-8855
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
1716 US 40 Hwy
Heber City, UT 84032
Phone (801) 804-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 W Cherry LN
Meridian, ID 83642-8531
6022 W Emerald St
Boise, ID 83704-8855
Phone (208) 367-4603
6094 W Emerald St
Boise, ID 83704-8855
Phone (208) 302-1000
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5381309 | ID | MD | Audiologist |
| 14226902-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Ear,Nose, and Throat Specialists LLC | Current | Accepting new patients |
Locations
756 E 12200 S
Draper, UT 84020
Phone (801) 833-0579
1716 N Highway 40
Ste 100
Heber City, UT 84032
Networks
- UT PPO D-SNP
- UT PPO
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Medical Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1487764411
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1023993607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6094 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048855",
"telephone_number": "208-302-1000",
"fax_number": "208-302-1035"
}
],
"practiceLocations": [
{
"address_1": "1716 US 40 Hwy",
"address_purpose": "LOCATION",
"city": "Heber City",
"state": "UT",
"postal_code": "84032",
"country_code": "US",
"telephone_number": "801-804-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "MAYRA",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "UT",
"license": "14226902-4101",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "5381309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.