Melanie Lee Phillips, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

2004017426 Issued in MO

Practice address

101 NW Englewood Rd
Gladstone, MO 64118-4063

Phone

(816) 313-2800

Fax

(816) 792-9819

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Melanie Lee Canavan Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.21 of 100Reported as group

Quality

69.99

Promoting interoperability

99

Improvement activities

40

Cost

68.22

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melanie.phillipsaud.p9@direct.nlhc.nextgenshare.com

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.

• New Liberty Hospital Corporation

  • Family Medicine Physician
  • Kearney, MO
  • NPI 1669734661

  MO

  Medicare reassignment Care Compare group NPD
• New Liberty Hospital Corporation

  • Rural Health Clinic/Center
  • Plattsburg, MO
  • NPI 1154053833
  Care Compare group
• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare group
• New Liberty Hospital Coporation

  • Nephrology Physician
  • Liberty, MO
  • NPI 1053284190
  NPD
• New Liberty Hospital Corporation

  • Otolaryngology Physician
  • Liberty, MO
  • NPI 1225505456
  NPD
• New Liberty Hospital Coporation

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1821518630
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1659320588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VICTORY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681973",
            "telephone_number": "816-313-2800",
            "fax_number": "816-792-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ENGLEWOOD RD",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184063",
            "telephone_number": "816-313-2800",
            "fax_number": "816-792-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MELANIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2004017426",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "2000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "431857086",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34245019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "CANAVAN",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kunj Patel
• Kendra Lynn Pearson, DC
• Deborah Ann Peek, OTR L
• Jordan A Perriman, DDS
• Kristie E Pfaff, MSW, LCSW, LSCSW
• Sheila K Phillips, D.O.
• Becky Phung
• Hillary Rummel Pierce
• Andrea J Pittman, LCSW, RPT
• David Scott Platt, DDS

• All providers in Gladstone, MO
• Audiologist-Hearing Aid Fitter in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.