Active NPI
Cathryn D Carpenter
- Audiologist
- Idaho Falls, ID
National Provider Identifier
1881758746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD1380
- Practice address
- 3422 S 15TH E
Ste 101
Idaho Falls, ID 83404-8262 - Phone
- (208) 552-1222
- Fax
- (208) 552-3377
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | AUD1380 | ID | Primary |
Addresses
Primary practice location
3422 S 15TH E
Ste 101
Idaho Falls, ID 83404-8262
Mailing address
3422 S 15TH E
Ste 101
Idaho Falls, ID 83404-8262
Phone (208) 552-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD1380 | ID | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881758746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3422 S 15TH E",
"address_2": "STE 101",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048262",
"telephone_number": "208-552-1222",
"fax_number": "208-552-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3422 S 15TH E",
"address_2": "STE 101",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048262",
"telephone_number": "208-552-1222",
"fax_number": "208-552-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "CATHRYN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD1380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.