Active NPI
Elena Stamm, AU.D.
- Audiologist
- Boise, ID
National Provider Identifier
1164080164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD-1994
- Practice address
- 10000 W Amity Rd
Boise, ID 83709 - Phone
- (208) 854-5299
- Fax
- (208) 854-5221
- NPI assigned
- Jun 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD-1994 | ID | Primary |
Addresses
Primary practice location
10000 W Amity Rd
Boise, ID 83709
Mailing address
10000 W Amity Rd
Attn E Stamm
Boise, ID 83709
Phone (208) 854-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUD-1994 | Other | ID | IDAHO LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elena.stamm@boiseschools.org | 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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD-1994 | ID | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1164080164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 W AMITY RD",
"address_2": "ATTN E STAMM",
"city": "BOISE",
"state": "ID",
"postal_code": "83709",
"telephone_number": "208-854-5299",
"fax_number": "208-854-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W AMITY RD",
"city": "BOISE",
"state": "ID",
"postal_code": "83709",
"telephone_number": "208-854-5299",
"fax_number": "208-854-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMM",
"first_name": "ELENA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD-1994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO LICENSE",
"identifier": "AUD-1994",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elena.stamm@boiseschools.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "Amity Elementary",
"address_2": "10000 W Amity Rd",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "83709",
"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 Jun 4, 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.