Idaho State University

Public-record details

Address

650 Memorial Drive, # 68, Pocatello, ID 83209

Phone

(208) 282-3495

Listed under

Audiologists, Clinics & practices

NPI

1578508081

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Audiologist (231H00000X)

License number on NPI record

AUD1225 (ID)

Authorized official

Randy Bishop, MS, Audiologist

NPI first issued

Jun 18, 2006

NPI record last updated

Aug 22, 2020

NPI 1578508081 is active in the federal NPPES registry (CMS); license AUD1225 (ID) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-21.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it.

View NPI 1578508081 in the official registry ↗