Active NPI
Melissa Ann Moon, MS, CCC-A
- Audiologist
- Birmingham, AL
National Provider Identifier
1487829255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 860A
- Practice address
- 1600 7TH Ave S
Clinic 2 Hearing and Speech
Birmingham, AL 35233-1711 - Phone
- (205) 393-5815
- Fax
- (205) 939-5122
- NPI assigned
- Apr 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 860A | AL | Primary |
Addresses
Primary practice location
1600 7TH Ave S
Clinic 2 Hearing and Speech
Birmingham, AL 35233-1711
Mailing address
2354 Freestone Ridge CV
Birmingham, AL 35226-6243
Phone (205) 939-5815
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 860A | AL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1487829255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 FREESTONE RIDGE CV",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352266243",
"telephone_number": "205-939-5815",
"fax_number": "205-939-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH AVE S",
"address_2": "CLINIC 2 HEARING AND SPEECH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-393-5815",
"fax_number": "205-939-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "860A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.