Active NPI
Melissa Marie Heinricy, AUD
- Audiologist
- Cedar Rapids, IA
National Provider Identifier
1265688204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 532
- Practice address
- 1825 - 29TH St NE
Ste a
Cedar Rapids, IA 52402-3452 - Phone
- (319) 246-8782
- Fax
- (319) 286-8798
- NPI assigned
- Aug 11, 2008
- 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 | 532 | IA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 805 | IA |
Addresses
Primary practice location
1825 - 29TH St NE
Ste a
Cedar Rapids, IA 52402-3452
Mailing address
1825 - 29TH St NE
Ste a
Cedar Rapids, IA 52402-3452
Phone (319) 246-8782
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F228696 | Other | MIDLANDS CHOICE | |
| 7739065 | Other | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 532 | IA | MD | Podiatrist |
| 805 | IA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Rapids Hearing Center | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Cedar Rapids, IA
- NPI 1912968983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1265688204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 - 29TH ST NE",
"address_2": "STE A",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023452",
"telephone_number": "319-246-8782",
"fax_number": "319-286-8798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 - 29TH ST NE",
"address_2": "STE A",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023452",
"telephone_number": "319-246-8782",
"fax_number": "319-286-8798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINRICY",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "532",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IA",
"license": "805",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F228696",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7739065",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.