Individual provider Active NPI

Melanie Muhlestein, AU.D.

  • Audiologist
  • Kennewick, WA
National Provider Identifier
1679175020
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61508445 Issued in WA
Practice address
4015 W Clearwater Ave
Kennewick, WA 99336-2631
Phone
(509) 736-4005
Fax
(509) 737-9525
NPI assigned
Nov 11, 2020
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD61508445 WA Primary
Audiologist 231H00000X AUD-4478 ID
Audiologist-Hearing Aid Fitter 237600000X LD61508445 WA

Addresses

Primary practice location

4015 W Clearwater Ave
Kennewick, WA 99336-2631

Mailing address

4015 W Clearwater Ave
Kennewick, WA 99336-2631
Phone (509) 736-4005

Other practice location 1

300 S 2nd Ave
Walla Walla, WA 99362-3035
Phone (509) 876-4541

Other names 1

  • Melanie Ford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210129001247 ID Practitioner - Qualified Audiologist 0941614143 Reassigns benefits to 1 organization
I20240111002203 WA Practitioner - Qualified Audiologist 0941614143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Basin Hearing Center LLCGroup PAC ID 3375906423, 4 clinicians

Practice addresses (Care Compare)

4015 W Clearwater Ave
Kennewick, WA 99336-5028
Phone (509) 736-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD-4478IDMDAudiologist
LD61508445WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Hearing and Audiology LLC Audiologist CurrentSince Nov 1, 2020 Accepting new patients
Columbia Basin Hearing Center LLC Audiologist CurrentSince Dec 13, 2023 Accepting new patients

Locations

1753 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-4445

218 Dividend Dr
Ste 2
Rexburg, ID 83440
Phone (208) 359-2727

4015 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 736-4005

300 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 876-4541

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1679175020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362631",
            "telephone_number": "509-736-4005",
            "fax_number": "509-737-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362631",
            "telephone_number": "509-736-4005",
            "fax_number": "509-737-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623035",
            "country_code": "US",
            "telephone_number": "509-876-4541",
            "fax_number": "509-525-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHLESTEIN",
        "first_name": "MELANIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61508445",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-4478",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD61508445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "FORD",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.