Individual provider Active NPI

Laura Jeanne Pacini, AU.D.

  • Audiologist
  • Rexburg, ID
National Provider Identifier
1952550261
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD-5912 Issued in ID
Practice address
256 N 2ND E Ste 3
Rexburg, ID 83440-1638
Phone
(208) 356-0766
NPI assigned
Sep 10, 2008
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.01663 OH
Audiologist 231H00000X AUD-5912 ID 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) 356-0766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418004371 ID Practitioner - Qualified Audiologist 8325487697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Hearing and Audiology LLCGroup PAC ID 7618286626, 4 clinicians

Practice addresses (Care Compare)

1753 W Broadway St
Idaho Falls, ID 83402-3045
Phone (208) 524-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD-5912IDMDAudiologist
A.01663OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Hearing and Audiology LLC Audiologist CurrentSince May 20, 2024 Accepting new patients
Rocky Mountain Hearing Audiologist PastSince May 20, 2024 Accepting new patients

Locations

1753 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-4445

218 Dividend Dr
Ste 2
Rexburg, ID 83440
Phone (208) 359-2727

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1952550261",
    "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": "208-356-0766"
        },
        {
            "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": "208-356-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACINI",
        "first_name": "LAURA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01663",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-5912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.