Organization Active NPI

Nardelli Audiology LLC

  • Audiologist
  • Bridgeport, WV
National Provider Identifier
1346770112
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0248 Issued in WV
Legal business name
NARDELLI AUDIOLOGY LLC
Practice address
111 Steele St
Bridgeport, WV 26330-1068
Phone
(304) 842-9428
Fax
(304) 842-6775
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Melissa Carnes Rose, AUD
Title
Audiologist/Owner
Phone
(304) 842-9428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A-0248 WV Primary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X A0248 WV

Addresses

Primary practice location

111 Steele St
Bridgeport, WV 26330-1068

Mailing address

111 Steele St
Bridgeport, WV 26330-1068
Phone (304) 842-9428

Other practice location 1

95 Rosebud Plz Ste 112
Clarksburg, WV 26301-9823
Phone (304) 622-9428

Other practice location 2

100 Main Street
Manchin Clinic
Farmington, WV 26571
Phone (304) 842-9428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002003418 WV Part B Supplier - Clinic/Group Practice 1658646625 Receives reassigned benefits from 2 practitioners
Practice locations: Bridgeport, WV; Farmington, WV; Clarksburg, WV

National Provider Directory

National Provider Directory

Locations

111 Steele St
Bridgeport, WV 26330
Phone (304) 842-9428

620 Rosebud PLZ Rte 19 S
Clarksburg, WV 26301

95 Rosebud Plz
Ste 112
Clarksburg, WV 26301
Phone (304) 622-9428

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346770112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STEELE ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301068",
            "telephone_number": "304-842-9428",
            "fax_number": "304-842-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STEELE ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301068",
            "telephone_number": "304-842-9428",
            "fax_number": "304-842-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Rosebud Plz Ste 112",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263019823",
            "country_code": "US",
            "telephone_number": "304-622-9428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Main Street",
            "address_2": "Manchin Clinic",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "WV",
            "postal_code": "26571",
            "country_code": "US",
            "telephone_number": "304-842-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NARDELLI AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CARNES",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "304-842-9428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0248",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WV",
            "license": "A0248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.