Individual provider Active NPI

Melinda Ruth Vance Trup, MS

  • Audiologist
  • Carmichael, CA
National Provider Identifier
1982740932
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1245 Issued in CA
Practice address
4748 Engle Rd Ste 107
Carmichael, CA 95608-2232
Phone
(916) 482-2273
Fax
(916) 974-2936
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA2740 CA
Audiologist 231H00000X AU1245 CA Primary

Addresses

Primary practice location

4748 Engle Rd Ste 107
Carmichael, CA 95608-2232

Mailing address

4748 Engle Rd Ste 107
Carmichael, CA 95608-2232
Phone (916) 482-2273

Other identifiers 5

IdentifierTypeStateIssuer
ZZZ54183ZOtherCABLUE SHIELD
ZZZ56178ZOtherCABLUE SHIELD
171689100OtherCADEPT OF LABOR
640003571OtherCARAILROAD MEDICARE
AU0001245MedicaidCA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AU1245CAMDAudiologist
HA2740CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1982740932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 ENGLE RD STE 107",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082232",
            "telephone_number": "916-482-2273",
            "fax_number": "916-974-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 ENGLE RD STE 107",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082232",
            "telephone_number": "916-482-2273",
            "fax_number": "916-974-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE TRUP",
        "first_name": "MELINDA",
        "middle_name": "RUTH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2740",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ54183Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ56178Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "171689100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "640003571",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0001245",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.