Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Ivanna Tali Rotman

Individual provider Audiologist · NPI 1447097456

Mrs. Ivanna Tali Rotman is a Qualified Audiologist in Meridian, Idaho. Qualified in 2020, 6 years ago. Practices with Idaho State University, a 19-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

1311 E Central Dr
Meridian, ID 83642-7991
Phone: (208) 282-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AUD-6054 (ID)

Record details

NPI number1447097456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Idaho State University — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Idaho State University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.

Other providers in Meridian