Bertha Whitney

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

H197 Issued in ID

Legal business name

BERTHA WHITNEY

Doing business as

Miracle Ear Center

Practice address

1927 Idaho Street
Lewiston, ID 83501-2563

Phone

(208) 746-8547

Fax

(208) 746-5579

NPI assigned

Nov 6, 2006

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bertha Elder Whitney, HEARING CONSULTANT

Title

Owner Consultant

Phone

(208) 746-8547

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Miracle Ear Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Banks

  • Audiologist-Hearing Aid Fitter
  • Lewiston, ID
  • NPI 1639477094
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1417026626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 N GOVT WAY STE 6",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359645",
            "telephone_number": "208-746-8547",
            "fax_number": "208-746-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 IDAHO STREET",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012563",
            "telephone_number": "208-746-8547",
            "fax_number": "208-746-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHA WHITNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "ELDER",
        "authorized_official_title_or_position": "OWNER CONSULTANT",
        "authorized_official_telephone_number": "208-746-8547",
        "authorized_official_credential": "HEARING CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "ID",
            "license": "H197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR INDUSTRIES",
            "identifier": "123516",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000014644",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002656800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AU738",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AU720",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9040924",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Light Bennett, LCPC
• Carrissa Bentley, LICSW
• Julie Benton, LMFT
• Mark Wynn Berger, L.C.S.W.
• Nancy Berkheiser, M.D.
• Jeffrey Carl Bickel, M.D
• Robert Biddle III
• Zadie Mazell Bielejec, ND
• Audrey Anne Bieler, PHARMD
• Tami Rachele Biery, MPT

• Hearing Aid Equipment in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Hearing Aid Equipment in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.