Active NPI
Melissa Born
- Audiologist
- Menomonee Falls, WI
National Provider Identifier
1427348747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 568-156
- Practice address
- W186N9523 Bancroft Dr
Menomonee Falls, WI 53051-8009 - Phone
- (262) 502-3570
- Fax
- (262) 502-3572
- NPI assigned
- Apr 8, 2011
- 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 | 568-156 | WI | Primary |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
W186N9523 Bancroft Dr
Menomonee Falls, WI 53051-8009
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (888) 510-0766
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 |
|---|---|---|---|
| 568-156 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Ear Nose Throat Clinic Limited | Audiologist | Past | Accepting new patients |
| Milwaukee ENT Speech & Hearing Aid Service | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Mequon, WI
- NPI 1457497091
Audiologist
-
- Hearing Aid Equipment
- Mequon, WI
- NPI 1982726659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1427348747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464103",
"telephone_number": "888-510-0766",
"fax_number": "763-268-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W186N9523 BANCROFT DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530518009",
"telephone_number": "262-502-3570",
"fax_number": "262-502-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORN",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "568-156",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.