Nathan Johansen, is a
Audiologist-hearing Aid Fitter based in Coeur D Alene, Idaho. Nathan Johansen is licensed to practice in Idaho (license number 83761566) and his current practice location is
700 W Ironwood Dr Ste 262, Coeur D Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at
(509) 581-6300.
NPI number for Nathan Johansen is 1154215010 and his current mailing address is 700 W Ironwood Dr Ste 262, Coeur D Alene, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154215010.
Healthcare Provider's Profile
| Full Name | Nathan Johansen |
|---|
| Gender | Male |
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| Speciality | Audiologist-hearing Aid Fitter |
|---|
| Location | 700 W Ironwood Dr Ste 262, Coeur D Alene, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154215010
- Provider Enumeration Date: 06/05/2025
- Last Update Date: 06/09/2025
Medical Identifiers
Medical identifiers for Nathan Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154215010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 83761566 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan Johansen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nathan Johansen,
700 W Ironwood Dr Ste 262,
Coeur D Alene, ID 83814-4400
Ph: (509) 581-6300 | Nathan Johansen,
700 W Ironwood Dr Ste 262,
Coeur D Alene, ID 83814-4400
Ph: (509) 581-6300 |
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