NPIMap

Individual provider Active NPI

David Eric Morledge, PHD

  • Audiologist
  • Eagle, ID
National Provider Identifier
1316974702
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU-1069 Issued in ID
Practice address
1020 N Beachwood CT
Eagle, ID 83616-6929
Phone
(208) 562-1826
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU-1069 ID Primary
Audiologist 231H00000X AU-1961 CA
Audiologist 231H00000X AT-000813-L PA

Addresses

Primary practice location

1020 N Beachwood CT
Eagle, ID 83616-6929

Mailing address

5120 W Overland Rd
PMB 239
Boise, ID 83705-2680
Phone (208) 562-1826

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AU-1961CAMDAudiologist
AU-1069IDMDAudiologist
AT-000813-LPAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1316974702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W OVERLAND RD",
            "address_2": "PMB 239",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052680",
            "telephone_number": "208-562-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N BEACHWOOD CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166929",
            "telephone_number": "208-562-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLEDGE",
        "first_name": "DAVID",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AU-1069",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU-1961",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT-000813-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.