Individual provider Active NPI

Melanie Sheperd, AUD

  • Audiologist
  • Lansing, MI
National Provider Identifier
1760070346
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23166040607 Issued in MI
Practice address
1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894
Phone
(517) 889-1921
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002744A IN
Audiologist 231H00000X 23166040607 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894

Mailing address

1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894
Phone (517) 889-1921

Other names 1

  • Melanie Dietrich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220226000126 MI Practitioner - Qualified Audiologist 0547674988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Health Center Inc PCGroup PAC ID 4981686722, 3 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Suite 330
Lansing, MI 48912-1894
Phone (517) 364-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23166040607MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health Center Inc PC Audiologist CurrentSince Nov 15, 2024 Accepting new patients
Hear 4 You Hearing Center LLC Audiologist CurrentSince Oct 16, 2022 Accepting new patients

Locations

2136 Robinson Rd
Ste 3
Jackson, MI 49203
Phone (517) 962-5063

1701 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 485-9676

1200 E Michigan Ave
Ste 330
Lansing, MI 48912
Phone (517) 364-5678

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1079 S US Highway 27
Saint Johns, MI 48879
Phone (989) 224-1575

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1760070346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 330",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121894",
            "telephone_number": "517-889-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 330",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121894",
            "telephone_number": "517-889-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPERD",
        "first_name": "MELANIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002744A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "23166040607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "DIETRICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.