Individual provider Active NPI

Kellee Newman, HIS

  • Hearing Instrument Specialist
  • Boise, ID
National Provider Identifier
1043827603
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA-3190 Issued in ID
Practice address
5513 N Glenwood St Ste B
Boise, ID 83714-1332
Phone
(208) 375-6600
NPI assigned
Sep 28, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-3190 ID Primary

Addresses

Primary practice location

5513 N Glenwood St Ste B
Boise, ID 83714-1332

Mailing address

5513 N Glenwood St Ste B
Boise, ID 83714-1332
Phone (208) 375-6600

Other practice location 1

901 12th Ave S
Nampa, ID 83651-4658
Phone (208) 616-1994

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellee@houseofhearingclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA-3190IDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Group LLC CurrentSince Oct 9, 2022 Accepting new patients
Matthew S. Murphy CurrentSince Mar 11, 2022 Accepting new patients

Locations

5513 N Glenwood St
Ste B
Garden City, ID 83714
Phone (208) 375-6600

901 12th Ave S
Nampa, ID 83651
Phone (208) 466-9251

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1043827603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 N GLENWOOD ST STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141332",
            "telephone_number": "208-375-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 N GLENWOOD ST STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141332",
            "telephone_number": "208-375-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 12th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836514658",
            "country_code": "US",
            "telephone_number": "208-616-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KELLEE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-3190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellee@houseofhearingclinic.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5513 N Glenwood St Ste B",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837141332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.