Teton Hearing Center LLC
NPI 1659523694ActiveOrganization· Audiologist· Driggs, ID
Audiologist in Driggs, Idaho, registered in NPPES in October 2008. The authorized official on file is Eliza S. Petersen, M.A. CCC-A FAAA, Manager/Member/Audiologist.
Overview
| NPI | 1659523694 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2008 |
| Last updated in NPPES | Oct 22, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | A-974 | WY |
| Audiologist | 231H00000X | AUD1142 | ID |
| Audiologist-Hearing Aid Fitter | 237600000X | A-974 | WY |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD1142 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Audiologist providers in Driggs
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