Rickey Sam Fauvor

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA3089 Issued in ID

Practice address

2512 N Stokesberry PL Ste 102
Meridian, ID 83646-1135

Phone

(208) 229-3238

Fax

(208) 880-4245

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mr. Rickey Sam Vetkos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Everything Hearing, LLC

  • Hearing and Speech Clinic/Center
  • Meridian, ID
  • NPI 1548859101
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1295896835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141535",
            "telephone_number": "503-233-6141",
            "fax_number": "503-233-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 N STOKESBERRY PL STE 102",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461135",
            "telephone_number": "208-229-3238",
            "fax_number": "208-880-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUVOR",
        "first_name": "RICKEY",
        "middle_name": "SAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-916188",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA3089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "82-3793314",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-3793314",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKEY",
            "last_name": "VETKOS",
            "middle_name": "SAM",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron L Farley
• Josie F Farmer, NP-C
• Kaylee Nicole Farrell, LPC
• Emmanuel Tobiloba Fasooto, DNP, PMHNP-BC
• Svitlana Fastovets
• Kira Fazzari
• Aaron Fearday, M.D.
• Kristin Fehrer
• Jayne Fekete
• Jana Marie Feldman, RN, CDE

• Hearing Instrument Specialist in Meridian, ID
• Providers in Meridian, ID by specialty
• Hearing Instrument Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.