Active NPI
Kim B Briggs, M.S. CCC-A
- Audiologist
- Idaho Falls, ID
National Provider Identifier
1093813461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD-1095
- Practice address
- 3345 Merlin Dr
Ste 200
Idaho Falls, ID 83404-7405 - Phone
- (208) 529-1514
- Fax
- (208) 529-3170
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | HA-1030 | ID | |
| Audiologist | 231H00000X | AUD-1095 | ID | Primary |
Addresses
Primary practice location
3345 Merlin Dr
Ste 200
Idaho Falls, ID 83404-7405
Mailing address
3345 Merlin Dr
Ste 200
Idaho Falls, ID 83404-7405
Phone (208) 529-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807202100 | Medicaid | ID |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD-1095 | ID | MD | Audiologist |
| HA-1030 | ID | MD | Assistive Technology Practitioner Audiologist |
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": "1564531200000",
"number": "1093813461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 MERLIN DR",
"address_2": "STE 200",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047405",
"telephone_number": "208-529-1514",
"fax_number": "208-529-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 MERLIN DR",
"address_2": "STE 200",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047405",
"telephone_number": "208-529-1514",
"fax_number": "208-529-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGGS",
"first_name": "KIM",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "ID",
"license": "HA-1030",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD-1095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807202100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.