Active NPI
Amy Marie Melik-Israyelyan, H.I.S.
- Hearing Instrument Specialist
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 000948
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000948 | IA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Locations
201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081
Interoperability endpoints
- 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.
-
- Ophthalmology Physician
- Marshalltown, IA
- NPI 1477532174
-
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1467448217
-
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1962498816
Audiologist-Hearing Aid Fitter
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
Audiologist-Hearing Aid Fitter
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.