Individual provider Active NPI

Melissa Hillock Cannellos

  • Hearing Instrument Specialist
  • Schenectady, NY
National Provider Identifier
1134657604
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000051407 Issued in NY
Practice address
1426 Altamont Ave Ste 2
Schenectady, NY 12303-2979
Phone
(518) 382-7878
Fax
(518) 382-5970
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X NY
Hearing Instrument Specialist 237700000X 14000051407 NY Primary

Addresses

Primary practice location

1426 Altamont Ave Ste 2
Schenectady, NY 12303-2979

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

2911 Route 9
Ballston Spa, NY 12020-3975
Phone (518) 583-0471

Other practice location 2

21 Everett Rd Ext
Albany, NY 12205-3357
Phone (518) 435-1400

Other practice location 3

334 Main St
Richmondville, NY 12149
Phone (518) 382-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000051407NYMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1134657604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 ALTAMONT AVE STE 2",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032979",
            "telephone_number": "518-382-7878",
            "fax_number": "518-382-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Route 9",
            "address_purpose": "LOCATION",
            "city": "Ballston Spa",
            "state": "NY",
            "postal_code": "120203975",
            "country_code": "US",
            "telephone_number": "518-583-0471",
            "fax_number": "503-659-5968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Everett Rd Ext",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053357",
            "country_code": "US",
            "telephone_number": "518-435-1400",
            "fax_number": "518-435-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "334 Main St",
            "address_purpose": "LOCATION",
            "city": "Richmondville",
            "state": "NY",
            "postal_code": "12149",
            "country_code": "US",
            "telephone_number": "518-382-7878",
            "fax_number": "518-382-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNELLOS",
        "first_name": "MELISSA",
        "middle_name": "HILLOCK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000051407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.