Active NPI
Melody Celeste Weitkamp, AUD
- Audiologist
- Eugene, OR
National Provider Identifier
1831665397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 030926
- Practice address
- 1200 Hilyard St
Eugene, OR 97401-8122 - Phone
- (458) 205-6500
- NPI assigned
- Oct 22, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 20180718000211210901 | OR | |
| Audiologist | 231H00000X | 030926 | OR | Primary |
Addresses
Primary practice location
1200 Hilyard St
Eugene, OR 97401-8122
Mailing address
72650 London Rd
Cottage Grove, OR 97424-9263
Other practice location 1
1160 Wallace Rd NW
Salem, OR 97304-3116
Phone (503) 331-3060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20180718000211210901 | OR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1831665397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72650 LONDON RD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974249263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018122",
"telephone_number": "458-205-6500"
}
],
"practiceLocations": [
{
"address_1": "1160 Wallace Rd NW",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973043116",
"country_code": "US",
"telephone_number": "503-331-3060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEITKAMP",
"first_name": "MELODY",
"middle_name": "CELESTE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "20180718000211210901",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "030926",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1160 Wallace Rd NW",
"city": "Salem",
"state": "OR",
"country_code": "US",
"postal_code": "973043116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.