Morgan Blacksten, HIS

Individual provider Active NPI Hearing Instrument Specialist · Rexburg, ID

NPI 1295530715 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1295530715
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
HA-4757 (ID)
Practice address
117 W Main St Ste 1
Rexburg, ID 83440-1826
Phone
(208) 356-0766
Fax
(208) 359-9488
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HA-4757IDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Hearing Instrument Specialist Past
since Feb 23, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-4757 ID Yes

Addresses

Primary practice location

117 W Main St Ste 1
Rexburg, ID 83440-1826

Mailing address

117 W Main St Ste 1
Rexburg, ID 83440-1826
Phone (208) 356-0766

Other providers in Rexburg, ID

All providers in Rexburg, ID · Hearing Instrument Specialist in Idaho

Sources for this page

Verify at the official NPI Registry.