NPI age
18 years
Enumerated 2008-04-09
● Active
Type 1 · Individual
MS. Jennifer Ann Clark
Clark is 1 of 3 audiologist providers in Lewiston and 1 of 146 in Idaho.
Primary specialty
Audiologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 146 active audiologist providers in Idaho.
NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
330 Warner Dr
Lewiston, ID 835014441
Mailing address
330 Warner Dr
Lewiston, ID 835014441
Specialties
-
Audiologist Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | AU022 | BLUE CROSS OF ID |
| 01 (ID) | 000010170154 | REGENCE BLUESHIELD OF ID |
| 05 (WA) | 8560278 | |
| 05 (ID) | 808195700 | |
| 01 (ID) | 1580017 | MEDICARE ID |
| 01 (ID) | P00678807 | RAILROAD MEDICARE |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.