Jessica Renee Stich-Hennen, AU.D., F-AAA
NPI 1578840153ActiveIndividual· Audiologist· Boise, ID
Audiologist (AU.D., F-AAA) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1578840153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D., F-AAA |
| Sole proprietor | No |
| NPI issued | Nov 9, 2011 |
| Last updated in NPPES | Nov 9, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AUD-1736 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (ID) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Other Audiologist providers in Boise
- 1770539694
- 1003056375
- 1477725158
- 1538456900
- 1508882374
- 1528012861
- 1871279240
- 1457977118
- 1083592018
- 1437320082
- 1376820993
- 1609563766