Jennifer Holst, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD-1322 Issued in ID

Practice address

Idaho State University
921 S. 8TH Stop 8116
Pocatello, ID 83209-0001

Phone

(208) 282-3747

NPI assigned

Jul 12, 2006

Last updated

May 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  Medicare reassignment NPD
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Idaho State University

  dba Idaho State University Physical and Occupational Therapy Associates

  • Physical Therapist
  • Pocatello, ID
  • NPI 1356491187
  NPD
• Idaho State University

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1366033094
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1487689683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IDAHO STATE UNIVERSITY",
            "address_2": "921 S. 8TH STOP 8116",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IDAHO STATE UNIVERSITY",
            "address_2": "921 S. 8TH STOP 8116",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLST",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-1322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002818800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry T Holland Jr., PHARMD
• Carl B Holm, D.D.S.
• Corrie Elizabeth Holmes, AU.D.
• John Thomas Holmes, PHARM.D.
• Earl Evan Holmstead, MD
• Daniel Holsten, CADC
• Dixie Holsten, PPRC
• Roger D. Holyoak, LCPC
• Royce Tucker Holyoak
• Home Living Services

• Audiologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.