Individual provider Active NPI

Travis Ross Rigby, AUD

  • Audiologist
  • Rexburg, ID
National Provider Identifier
1033217419
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD1129 Issued in ID
Practice address
256 N 2ND E Ste 3
Rexburg, ID 83440-1638
Phone
(208) 497-0134
Fax
(208) 710-8986
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD1129 ID Primary

Addresses

Primary practice location

256 N 2ND E Ste 3
Rexburg, ID 83440-1638

Mailing address

256 N 2ND E Ste 3
Rexburg, ID 83440-1638
Phone (208) 497-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000710 ID Practitioner - Qualified Audiologist 2860454667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

256 N 2ND
Suite 3
Rexburg, ID 83440-1638
Phone (208) 497-0134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD1129IDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Audiology LLC CurrentSince Nov 21, 2023 Accepting new patients
Mountain View Hospital LLC Past Accepting new patients

Locations

256 N 2nd E
#3
Rexburg, ID 83440
Phone (208) 356-0766

30 W Main St
Saint Anthony, ID 83445
Phone (208) 624-2244

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1033217419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N 2ND E STE 3",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401638",
            "telephone_number": "208-497-0134",
            "fax_number": "208-710-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N 2ND E STE 3",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401638",
            "telephone_number": "208-497-0134",
            "fax_number": "208-710-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGBY",
        "first_name": "TRAVIS",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.

Verify at the official NPI Registry.