Active NPI
Upper Valley Audiology LLC
- Audiologist-Hearing Aid Fitter
- Rexburg, ID
National Provider Identifier
1730954553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- UPPER VALLEY AUDIOLOGY LLC
- Practice address
- 256 N 2ND E Ste 3
Rexburg, ID 83440-1638 - Phone
- (208) 497-0134
- Fax
- (208) 710-8986
- NPI assigned
- Nov 21, 2023
- Last updated
- Jan 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Travis Ross Rigby, AU.D.
- Title
- Audiologist
- Phone
- (208) 569-6207
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NU | Primary |
Addresses
Primary practice location
256 N 2ND E Ste 3
Rexburg, ID 83440-1638
Mailing address
256 N 2ND E Ste 3
Rexburg, ID 83440-1638
Phone (208) 497-0134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
256 N 2nd E
#3
Rexburg, ID 83440
Phone (208) 356-0766
Practitioners & affiliated clinicians
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.
-
- Audiologist
- Rexburg, ID
- NPI 1033217419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737331200000",
"number": "1730954553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 N 2ND E STE 3",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401638",
"telephone_number": "208-497-0134",
"fax_number": "208-710-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 N 2ND E STE 3",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401638",
"telephone_number": "208-497-0134",
"fax_number": "208-710-8986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER VALLEY AUDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-21",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A",
"authorized_official_last_name": "RIGBY",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "208-569-6207",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
- Rikki Trussel, PHARM D
- Peytan Alexa Crapo Tucker, LMSW
- Tueller Counseling Inc
- Annette Mary Tuft, FNP
- University of Utah Pediatric Services (Madison Memorial Hospital - Ped's Cardiology)
- Upper Valley Community Health Services Inc (Grand Peaks Medical)
- Upper Valley Community Health Services Inc (Grand Peaks Pharmacy)
- Upper Valley Community Health Services Inc (Grand Peaks Behavioral Health)
- Upper Valley Community Health Services Inc (Grand Peaks Dental)
- Upper Valley ENT & Allergy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.