Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053584292 Individual Practitioner Female Practitioner

Jennifer Ann Clark

Audiologist • Lewiston, ID

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jennifer Clark is a registered healthcare professional specializing in Audiologist in Lewiston, ID. Official NPI practice address is registered at 330 WARNER DR.

Practice Location & Contact Primary Location

Practice Address

330 Warner Dr

Lewiston, ID 835014441

Telephone 2087460193
Fax 2087467074
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Lewiston, ID (124 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License ID AUD-1728

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8560278 (WA)
Medicaid State Provider ID
808195700 (ID)
Commercial Insurance / Payer ID Blue Cross Of Id
AU022 (ID)
Commercial Insurance / Payer ID Regence Blueshield Of Id
000010170154 (ID)
Commercial Insurance / Payer ID Medicare Id
1580017 (ID)
Commercial Insurance / Payer ID Railroad Medicare
P00678807 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Sennett Pierce Sr , DO

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1073824744

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Burry , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1275698367

Doctor of Osteopathic Medicine (D.O.)

Dr. Maxine Miller , AuD

Audiologist-Hearing Aid Fitter

NPI 1447036348

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2010

Registered at 330 WARNER DR, LEWISTON, ID 835014441 (Tel: 2087460193)

📍
Updated Business Mailing Address April 28, 2010

Registered at 330 WARNER DR, LEWISTON, ID 835014441 (Tel: 2087460193)

👤
Provider Name / Credentials Updated April 28, 2010

Recorded as JENNIFER CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Audiologist (License #AUD-1728 in ID)

🟢
Initial NPI Registration & Enumeration April 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053584292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2008
Last Update: April 28, 2010
Sole Proprietor: No

Mailing Address

330 Warner Dr

Lewiston, ID 835014441

Phone: 2087460193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.