Active NPI
Michele C Cannon, AUD
- Audiologist
- Alamogordo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4565
- Practice address
- 1401 10TH St Ste C
Alamogordo, NM 88310-5012 - Phone
- (575) 437-4327
- Fax
- (575) 437-5009
- NPI assigned
- Sep 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4565 | NM | Primary |
Addresses
Primary practice location
1401 10TH St Ste C
Alamogordo, NM 88310-5012
Mailing address
1401 10TH St Ste C
Alamogordo, NM 88310-5012
Phone (575) 437-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3791 Southern Blvd SE
Suite 200
Rio Rancho, NM 87124-7413
Phone (505) 933-6315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4565 | NM | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients | |
| National Sinus Institute PLLC | Past | Accepting new patients |
Locations
555 Oppenheimer Dr
Ste 101
Los Alamos, NM 87544
Phone (505) 661-2405
3791 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 933-6315
3791 Southern Blvd SE
Ste 200
Rio Rancho, NM 87124
Phone (505) 933-6315
1350 Paseo del Pueblo Sur
Ste 3
Taos, NM 87571
Phone (505) 751-9327
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDAHAA
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.
-
- Otolaryngology Physician
- Los Alamos, NM
- NPI 1194968081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1841523685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 10TH ST STE C",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105012",
"telephone_number": "575-437-4327",
"fax_number": "575-437-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 10TH ST STE C",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105012",
"telephone_number": "575-437-4327",
"fax_number": "575-437-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "MICHELE",
"middle_name": "C",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "4565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.