NPIMap

Organization Active NPI

Rocky Mountain Hearing

  • Audiologist
  • Rexburg, ID
National Provider Identifier
1093829665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD-1081 Issued in ID
Legal business name
ROCKY MOUNTAIN HEARING
Practice address
218 Dividend Dr
Suite 2
Rexburg, ID 83440-3556
Phone
(208) 359-2727
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yancie J Kidd, AU.D.
Title
Owner/President
Phone
(208) 359-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AUD-1081 ID Primary

Addresses

Primary practice location

218 Dividend Dr
Suite 2
Rexburg, ID 83440-3556

Mailing address

218 Dividend Dr
Suite 2
Rexburg, ID 83440-3556
Phone (208) 359-2727

National Provider Directory

National Provider Directory

Locations

218 Dividend Dr
Ste 2
Rexburg, ID 83440
Phone (208) 359-2727

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093829665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DIVIDEND DR",
            "address_2": "SUITE 2",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403556",
            "telephone_number": "208-359-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DIVIDEND DR",
            "address_2": "SUITE 2",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403556",
            "telephone_number": "208-359-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HEARING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "YANCIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-359-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-1081",
            "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 Aug 22, 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.