Idaho State University
NPI 1952474777 · Audiologist · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho State University is a Audiologist organization in Pocatello, ID (NPI 1952474777).
Provider details
- NPI number
- 1952474777
- Entity type
- Organization
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Cynthia Rock, Clinics Director of Operations(208) 373-1743
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Idaho State University Speech & Hearing Clinic
Additional practice locations (2)
- 1311 E Central DrMeridian, ID 83642-7991Phone: (208) 373-1734Fax: (833) 499-1813
- 805 Main StSalmon, ID 83467-4316Phone: (208) 282-3495Fax: (833) 499-1813
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1952474777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho State University?
- Idaho State University is classified in the NPPES registry as Audiologist (Speech, Language and Hearing Service Providers).
- Where is Idaho State University located?
- Idaho State University's practice location on file with NPPES is 650 Memorial Drive, Pocatello, ID 83201.
- What is Idaho State University's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University is (208) 282-3495.
- Does Idaho State University accept Medicare?
- Idaho State University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Cynthia Rock, Clinics Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho State University's NPI active?
- Yes — Idaho State University's NPI (1952474777) is active in the NPPES registry as of the last update on 2024-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.