Revelation Hearing, Inc

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA-1017 Issued in ID

Legal business name

REVELATION HEARING, INC

Practice address

3050 N Lake Harbor LN Ste 146
Boise, ID 83703-6354

Phone

(208) 343-2921

Fax

(208) 854-1163

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jacquelyn Wolf, BC-HIS

Title

President

Phone

(208) 861-3626

Specialties & licenses 1

Addresses

Other names 1

• Revelation Hearing Doing business as

Locations

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1821235888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N LAKE HARBOR LN STE 146",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036354",
            "telephone_number": "208-343-2921",
            "fax_number": "208-854-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N LAKE HARBOR LN STE 146",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036354",
            "telephone_number": "208-343-2921",
            "fax_number": "208-854-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION HEARING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-861-3626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revelation Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing Instrument Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Hearing Instrument Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.