Active NPI
Corrie Elizabeth Holmes, AU.D.
- Audiologist
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD-2521
- Practice address
- 650 Memorial Drive Building 68
Pocatello, ID 83209 - Phone
- (208) 282-3495
- Fax
- (208) 282-4571
- NPI assigned
- Jul 25, 2011
- Last updated
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD-2521 | ID | Primary |
Addresses
Primary practice location
650 Memorial Drive Building 68
Pocatello, ID 83209
Mailing address
921 S 8TH Ave Stop 8116
Pocatello, ID 83209-0001
Phone (208) 282-3495
Other practice location 1
805 Main St
Salmon, ID 83467-4316
Phone (208) 282-3495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-2260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD-2521 | ID | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho State University | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Idaho State University | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Hospital LLC | Current | Accepting new patients | |
| Idaho State University | Audiologist | Current | Accepting new patients |
Locations
1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
777 Hospital Way
Ste G15
Pocatello, ID 83201
Phone (208) 239-2260
921 S 8th Ave
Stop 8116
Pocatello, ID 83209
Phone (208) 282-3495
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.
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
dba Idaho State University Speech & Hearing Clinic
- Audiologist
- Pocatello, ID
- NPI 1952474777
-
- Community/Retail Pharmacy
- McCammon, ID
- NPI 1083393284
-
dba Idaho State University Physical and Occupational Therapy Associates
- Physical Therapist
- Pocatello, ID
- NPI 1356491187
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
dba Portneuf Medical Practices
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1548548589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 S 8TH AVE STOP 8116",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832090001",
"telephone_number": "208-282-3495",
"fax_number": "208-282-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 MEMORIAL DRIVE BUILDING 68",
"city": "POCATELLO",
"state": "ID",
"postal_code": "83209",
"telephone_number": "208-282-3495",
"fax_number": "208-282-4571"
}
],
"practiceLocations": [
{
"address_1": "805 Main St",
"address_purpose": "LOCATION",
"city": "Salmon",
"state": "ID",
"postal_code": "834674316",
"country_code": "US",
"telephone_number": "208-282-3495",
"fax_number": "208-282-4571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "CORRIE",
"middle_name": "ELIZABETH",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD-2521",
"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 Jun 25, 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.