Active NPI
Melody Danielle Prouse, AU.D.
- Audiologist
- Ashland, KY
National Provider Identifier
1497922207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0481
- Practice address
- 1101 Saint Christopher Dr
Suite 350
Ashland, KY 41101-7087 - Phone
- (606) 836-3681
- Fax
- (606) 834-8518
- NPI assigned
- May 12, 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 | 0481 | KY | Primary |
Addresses
Primary practice location
1101 Saint Christopher Dr
Suite 350
Ashland, KY 41101-7087
Mailing address
1101 Saint Christopher Dr
Suite 350
Ashland, KY 41101-7087
Phone (606) 836-3681
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
Interoperability endpoints
- mprouse93552@direct.kdhealth.us
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1497922207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAINT CHRISTOPHER DR",
"address_2": "SUITE 350",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017087",
"telephone_number": "606-836-3681",
"fax_number": "606-834-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAINT CHRISTOPHER DR",
"address_2": "SUITE 350",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017087",
"telephone_number": "606-836-3681",
"fax_number": "606-834-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUSE",
"first_name": "MELODY",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.