Melissa Gibbons-Kednocker, HAS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

0714 Issued in SC

Practice address

1 Wellness Blvd Ste 112
Irmo, SC 29063-2873

Phone

(803) 765-1919

NPI assigned

Feb 8, 2022

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

Other names 1

• Melissa Gibbons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1912651043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD STE 112",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632873",
            "telephone_number": "803-765-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD STE 112",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632873",
            "telephone_number": "803-765-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Chapin Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Chapin",
            "state": "SC",
            "postal_code": "290368877",
            "country_code": "US",
            "telephone_number": "803-765-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Richland Medical Park Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036850",
            "country_code": "US",
            "telephone_number": "803-765-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS-KEDNOCKER",
        "first_name": "MELISSA",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "0714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GIBBONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Garrett, NP
• Jonathan H Garrison, PT, DPT
• General Council on Finance & Admins (Aldersgate Special Needs Ministry)
• Gennea Healthcare Solutions, LLC
• Deanne N Geurkink, MD
• Chakori Gibson
• Rosaria Z. Gillis, LPCA
• Erica Gilmore
• Thomas M. Ginty, PHARMD
• Brandezea Glover

• Hearing Instrument Specialist in Irmo, SC
• Providers in Irmo, SC by specialty
• Hearing Instrument Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.