Individual provider Active NPI

Amy Marie Melik-Israyelyan, H.I.S.

  • Hearing Instrument Specialist
  • Waterloo, IA
National Provider Identifier
1194962928
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
000948 Issued in IA
Practice address
2055 Kimball Ave Ste 300
Waterloo, IA 50702-5047
Phone
(319) 272-2500
Fax
(319) 272-2503
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 IA
Hearing Instrument Specialist 237700000X 000948 IA Primary

Addresses

Primary practice location

2055 Kimball Ave Ste 300
Waterloo, IA 50702-5047

Mailing address

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

Other practice location 1

834 W. 4th St.
Waterloo, IA 50702
Phone (319) 234-4360

Other practice location 2

201 E J Ave
Grundy Center, IA 50638-2028
Phone (319) 824-5081

Other practice location 3

25 W Charles St
Oelwein, IA 50662-1641
Phone (319) 283-1105

Other practice location 4

909 W 1st St
Sumner, IA 50674-1203
Phone (563) 578-3275

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000948IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Inc Current Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearing Unlimited LLC Hearing Instrument Specialist Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter PastSince Feb 10, 2010 Accepting new patients

Locations

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

Interoperability endpoints

  • Direct secure messaging: amelik-israyelyan@wolfe.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194962928",
    "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": "2055 KIMBALL AVE STE 300",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025047",
            "telephone_number": "319-272-2500",
            "fax_number": "319-272-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 W. 4th St.",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50702",
            "country_code": "US",
            "telephone_number": "319-234-4360",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E J Ave",
            "address_purpose": "LOCATION",
            "city": "Grundy Center",
            "state": "IA",
            "postal_code": "506382028",
            "country_code": "US",
            "telephone_number": "319-824-5081",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W Charles St",
            "address_purpose": "LOCATION",
            "city": "Oelwein",
            "state": "IA",
            "postal_code": "506621641",
            "country_code": "US",
            "telephone_number": "319-283-1105",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Sumner",
            "state": "IA",
            "postal_code": "506741203",
            "country_code": "US",
            "telephone_number": "563-578-3275",
            "fax_number": "319-235-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELIK-ISRAYELYAN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "H.I.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "000948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.