NPIMap

Organization Active NPI

Treasure Valley Hearing and Balance Clinic, Inc

  • Audiologist
  • Nampa, ID
National Provider Identifier
1124394796
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
TREASURE VALLEY HEARING AND BALANCE CLINIC, INC
Practice address
1463 Caldwell Blvd
Nampa, ID 83651-1607
Phone
(208) 377-0019
Fax
(208) 377-0313
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Jacquie Anne Elcox, BC-HIS
Title
Owner/ President
Phone
(208) 377-0019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X Primary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X

Addresses

Primary practice location

1463 Caldwell Blvd
Nampa, ID 83651-1607

Mailing address

1084 N Cole Rd
Boise, ID 83704-8642
Phone (208) 377-0019

Other names 1

  • Treasure Valley Hearing Other name

National Provider Directory

National Provider Directory
Tax ID family
Treasure Valley Hearing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1463 Caldwell Blvd
Nampa, ID 83651
Phone (208) 377-0019

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1124394796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048642",
            "telephone_number": "208-377-0019",
            "fax_number": "208-377-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511607",
            "telephone_number": "208-377-0019",
            "fax_number": "208-377-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY HEARING AND BALANCE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "ELCOX",
        "authorized_official_first_name": "JACQUIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "208-377-0019",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Hearing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.