Individual provider Active NPI

Melody A Ingalls, HAS

  • Hearing Instrument Specialist
  • Merritt Island, FL
National Provider Identifier
1427510650
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
5323 Issued in FL
Practice address
262 E Merritt Island Cswy Ste 6
Merritt Island, FL 32952-3651
Phone
(321) 452-9053
Fax
(321) 459-5039
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 5323 FL Primary

Addresses

Primary practice location

262 E Merritt Island Cswy Ste 6
Merritt Island, FL 32952-3651

Mailing address

262 E Merritt Island Cswy Ste 6
Merritt Island, FL 32952-3651
Phone (321) 452-9053

Other identifiers 2

IdentifierTypeStateIssuer
1396179800OtherFLNPI
452474574OtherFLSTATE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL miracleear Direct

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
5323FLMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1427510650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 E MERRITT ISLAND CSWY STE 6",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523651",
            "telephone_number": "321-452-9053",
            "fax_number": "321-459-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E MERRITT ISLAND CSWY STE 6",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523651",
            "telephone_number": "321-452-9053",
            "fax_number": "321-459-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALLS",
        "first_name": "MELODY",
        "middle_name": "A",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "5323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396179800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "452474574",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miracleear",
            "affiliation": "N",
            "endpointDescription": "miracleearhearing.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "262 E Merritt Island Cswy Ste 6",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329523651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.