Active NPI
Snake River Hearing and Balance LLC
- Audiologist-Hearing Aid Fitter
- Idaho Falls, ID
National Provider Identifier
1053187294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- SNAKE RIVER HEARING AND BALANCE LLC
- Practice address
- 1582 Elk Creek Dr
Idaho Falls, ID 83404-8322 - Phone
- (208) 542-5414
- NPI assigned
- Nov 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Allred, AUD
- Title
- Owner
- Phone
- (208) 542-5414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Mailing address
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone (208) 542-5414
National Provider Directory
National Provider DirectoryLocations
1582 Elk Creek Dr
Idaho Falls, ID 83404
Phone (208) 213-5256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1053187294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1582 ELK CREEK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048322",
"telephone_number": "208-542-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1582 ELK CREEK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048322",
"telephone_number": "208-542-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNAKE RIVER HEARING AND BALANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "ALLRED",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-542-5414",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Tyson Smithersen, FNP
- Jessica Packer Smoot, PA
- Snake River Community Supported Living
- Snake River Counseling Center LLC
- Snake River Family Chiropractic Health and Wellness Center
- Snake River Hospitalists, LLC
- Snake River Human Services
- Snake River Physical Therapy Specialists LLC
- Candice Ann Snarr, BCBA
- K'Lynda Snarr, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.