Melissa Lynn Clark, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0123131 Issued in VT

Practice address

69 Allen St Ste 1
Rutland, VT 05701-4564

Phone

(802) 775-3315

Fax

(802) 775-9617

NPI assigned

Jun 14, 2017

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment Care Compare group NPD
• Porter Hospital, Inc

  dba Porter Medical Group

  • Family Medicine Physician
  • Middlebury, VT
  • NPI 1134457013

  Audiologist

  Medicare reassignment NPD
• Porter Hospital Inc

  dba Porter Hospital Inc dba Neshobe Family Medicine

  • Family Medicine Physician
  • Brandon, VT
  • NPI 1609896935
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1902336753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLEN STREET",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014650",
            "telephone_number": "802-747-3639",
            "fax_number": "802-747-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-775-3315",
            "fax_number": "802-775-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": "0123131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Cintorino, M-ED
• Melissa Mary Cioffi, M.S.CCC-SLP
• Cassandra Circe, DPT
• Stephanie Clarino, CCC-SLP
• Jessica Clark-Keeler, LICSW
• Jessica Cloutier
• John F. Coco, M.D.
• Laura Mary Cohen, DNP
• Jayden Colby, OTR
• Daniel Cole, PA-C

• Audiologist in Rutland, VT
• Providers in Rutland, VT by specialty
• Audiologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.