Organization Active NPI

Pioneer Hearing and Tinnitus LLC

  • Audiologist-Hearing Aid Fitter
  • Pocatello, ID
National Provider Identifier
1689493074
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
PIONEER HEARING AND TINNITUS LLC
Practice address
215 E Cedar St Ste D
Pocatello, ID 83201-3700
Phone
(208) 589-1548
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Dr. Elizabeth O'Neil, AU.D.NPI 1073961306
Title
Audiologist/Owner
Phone
(208) 589-1548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

215 E Cedar St Ste D
Pocatello, ID 83201-3700

Mailing address

215 E Cedar St Ste D
Pocatello, ID 83201-3700
Phone (208) 775-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116000695 ID Part B Supplier - Clinic/Group Practice 5193253391 Receives reassigned benefits from 1 practitioner
Practice locations: American Falls, ID; Pocatello, ID

National Provider Directory

National Provider Directory

Locations

488 Highland St
American Falls, ID 83211
Phone (208) 589-1548

215 E Cedar St
Ste D
Pocatello, ID 83201
Phone (208) 589-1548

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1689493074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E CEDAR ST STE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013700",
            "telephone_number": "208-775-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E CEDAR ST STE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013700",
            "telephone_number": "208-589-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEARING AND TINNITUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "208-589-1548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 3, 2024; 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.