Active NPI
Melisa Rose Oblander, AUD
- Audiologist
- Minneapolis, MN
National Provider Identifier
1497846703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6291
- Practice address
- 420 Delaware St SE
MMC 283
Minneapolis, MN 55455-0341 - Phone
- (612) 676-5461
- NPI assigned
- Sep 28, 2006
- 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 | 6291 | MN | Primary |
Addresses
Primary practice location
420 Delaware St SE
MMC 283
Minneapolis, MN 55455-0341
Mailing address
909 Fulton St SE
Mail Code 2121DK
Minneapolis, MN 55455-4800
Other names 1
- Melisa Rose Ellis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- moblander89719@fairview.direct-ci.com
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 and National Provider Directory roles.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1497846703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"address_2": "MAIL CODE 2121DK",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MMC 283",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-676-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBLANDER",
"first_name": "MELISA",
"middle_name": "ROSE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "6291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISA",
"last_name": "ELLIS",
"middle_name": "ROSE",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.