Individual provider Active NPI

Jo-an Kay Mealler, M.S. CCC-A

  • Audiologist
  • Grand Junction, CO
National Provider Identifier
1801921085
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
103 Issued in CO
Practice address
2643 Patterson Rd
Suite 503
Grand Junction, CO 81506-1937
Phone
(970) 245-2400
Fax
(970) 242-9092
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 103 CO Primary

Addresses

Primary practice location

2643 Patterson Rd
Suite 503
Grand Junction, CO 81506-1937

Mailing address

2139 N 12TH St
Ste 4
Grand Junction, CO 81501-2910
Phone (970) 549-4660

Other identifiers 1

IdentifierTypeStateIssuer
840637098028OtherCORMHP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920001314 CO Practitioner - Qualified Audiologist 6406880301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Colorado Hearing Clinic PLLC Audiologist CurrentSince Dec 16, 2020 Accepting new patients

Locations

2139 N 12th St
Ste 4
Grand Junction, CO 81501
Phone (970) 257-7116

605 25 Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 549-4660

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, 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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1801921085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "STE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012910",
            "telephone_number": "970-549-4660",
            "fax_number": "970-549-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD",
            "address_2": "SUITE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061937",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALLER",
        "first_name": "JO-AN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMHP",
            "identifier": "840637098028",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.