Individual provider Active NPI

Melissa Ann Knoell, BC-HIS

  • Hearing Instrument Specialist
  • Red Oak, IA
National Provider Identifier
1356675417
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
00764 Issued in IA
Practice address
411 E Reed St
Red Oak, IA 51566-2372
Phone
(712) 623-2565
NPI assigned
Sep 22, 2009
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 00764 IA Primary

Addresses

Primary practice location

411 E Reed St
Red Oak, IA 51566-2372

Mailing address

2519 S 16TH St
Council Bluffs, IA 51501-7569
Phone (712) 249-1887

Other practice location 1

111 N 15th St
Clarinda, IA 51632-1614
Phone (712) 623-2565

Other practice location 2

700 S Highway St
Oakland, IA 51560-4365
Phone (712) 623-2565

Other practice location 3

711 W Sheridan Ave
Shenandoah, IA 51601-1741
Phone (712) 623-2565

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

LicenseStateTypeSpecialty
00764IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health Care LLC Hearing Instrument Specialist CurrentSince Apr 6, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1356675417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S 16TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017569",
            "telephone_number": "712-249-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E REED ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515662372",
            "telephone_number": "712-623-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N 15th St",
            "address_purpose": "LOCATION",
            "city": "Clarinda",
            "state": "IA",
            "postal_code": "516321614",
            "country_code": "US",
            "telephone_number": "712-623-2565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Highway St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "IA",
            "postal_code": "515604365",
            "country_code": "US",
            "telephone_number": "712-623-2565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 W Sheridan Ave",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "IA",
            "postal_code": "516011741",
            "country_code": "US",
            "telephone_number": "712-623-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOELL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "00764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.