NPI age
19 years
Enumerated 2006-06-18
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 146 audiologist organizations in Idaho.
Primary specialty
Audiologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bishop
Audiologist
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 146 active audiologist providers in Idaho.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
650 Memorial Drive, # 68
Pocatello, ID 832090001
Mailing address
650 Memorial Drive, # 68
Pocatello, ID 832090001
Authorized official
Randy L. Bishop, M.S.
Audiologist
📞 2082823495
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mariette Milbrandt, CCC-SLP Speech-Language Pathologist NPI 1700163359
- Mary Whitaker, AU.D. Audiologist NPI 1497782577
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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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