Active NPI
Melynda Michelle Jose, M.A.
- Audiologist
- Waterbury, CT
National Provider Identifier
1235220195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000279
- Practice address
- 1 Exchange PL
21 West Main Street, 3Rd Floor
Waterbury, CT 06702-2013 - Phone
- (203) 574-3777
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 231H00000X | 000279 | CT | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 000279 | CT |
Addresses
Primary practice location
1 Exchange PL
21 West Main Street, 3Rd Floor
Waterbury, CT 06702-2013
Mailing address
1 Exchange Place
21 West Main Street, 3Rd Floor
Waterbury, CT 06702-2013
Phone (203) 574-3777
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279 | CT | MD | Chiropractor |
| 000279 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1235220195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EXCHANGE PLACE",
"address_2": "21 WEST MAIN STREET, 3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022013",
"telephone_number": "203-574-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EXCHANGE PL",
"address_2": "21 WEST MAIN STREET, 3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022013",
"telephone_number": "203-574-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "MELYNDA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000279",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "000279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.