Individual provider Active NPI

Deborah Michelle Vieira, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Pocatello, ID
National Provider Identifier
1447503024
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
921 S 8TH Ave Stop 8116
Pocatello, ID 83209-2545
Phone
(208) 282-3495
NPI assigned
Oct 19, 2012
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

921 S 8TH Ave Stop 8116
Pocatello, ID 83209-2545

Mailing address

2350 Horizon Dr
Pocatello, ID 83201-2570

Other practice location 1

804 Yellowstone Ave
Pocatello, ID 83201-4415
Phone (208) 232-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122000896 ID Practitioner - Qualified Audiologist 3274562210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho State UniversityGroup PAC ID 4688683030, 19 clinicians

Practice addresses (Care Compare)

650 Memorial Dr BLDG
68 Isu Speech and Hearing Clinic
Pocatello, ID 83209-8116
Phone (208) 282-3495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho State University CurrentSince Sep 1, 2017 Accepting new patients
Idaho State University CurrentSince Sep 1, 2017 Accepting new patients
Idaho State University Audiologist Current Accepting new patients
Timothy Frantz MD Inc Past Accepting new patients
Redding Hearing Institute, Inc. Audiologist Past Accepting new patients
Idaho State University Past Accepting new patients
Centrum Hearing Services, Inc PastSince Jan 4, 2008 Accepting new patients

Locations

1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734

921 S 8th Ave
Stop 8116
Pocatello, ID 83209
Phone (208) 282-2219

805 Main St
Salmon, ID 83467
Phone (208) 282-3495

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1447503024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HORIZON DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S 8TH AVE STOP 8116",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832092545",
            "telephone_number": "208-282-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Yellowstone Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014415",
            "country_code": "US",
            "telephone_number": "208-232-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "DEBORAH",
        "middle_name": "MICHELLE",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.