Jessica K Fuggiti, AUD

Individual provider Active NPI Audiologist-Hearing Aid Fitter · Rigby, ID

NPI 1760155865 · NPPES record last updated Jul 26, 2021

Key facts

NPI
1760155865
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist-Hearing Aid Fitter 237600000X
License
AUD-4886 (ID)
Practice address
527 Rigby Lake Dr Ste C
Rigby, ID 83442-5117
Phone
(208) 522-6335
Fax
(208) 522-0550
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Lee, M.D., PC Current
since Aug 1, 2021
Accepting new patients

Locations

3446 S 15th E
Idaho Falls, ID 83404
Phone (208) 522-4409

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AUD-4886 ID Yes

Addresses

Primary practice location

527 Rigby Lake Dr Ste C
Rigby, ID 83442-5117

Mailing address

3446 S 15TH E
Idaho Falls, ID 83404-8262
Phone (208) 522-6335

Other practice location 1

3446 S 15th E
Idaho Falls, ID 83404-8262
Phone (208) 522-6335

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Rigby Other East Idaho Ear Nose Throat-Facial Plastic Surgery PA

Other providers in Rigby, ID

All providers in Rigby, ID · Audiologist-Hearing Aid Fitter in Idaho

Sources for this page

Verify at the official NPI Registry.