Healthcare Provider Details

I. General information

NPI: 1023020518
Provider Name (Legal Business Name): MELISSA M. MOORE-SCHMITT M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ADVANCED HEARING SYSTEMS 4933 BENCHMARK CENTRE DRIVE, SUITE B
SWANSEA IL
62226-8927
US

IV. Provider business mailing address

ADVANCED HEARING SYSTEMS LLC 4933 BENCHMARK CENTRE DRIVE, SUITE B
SWANSEA IL
62226-8927
US

V. Phone/Fax

Practice location:
  • Phone: 618-628-1212
  • Fax: 618-628-8520
Mailing address:
  • Phone: 618-628-1212
  • Fax: 618-628-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number147-000155
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number147-000155
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147-000155
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number147-000155
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number147000155
License Number StateIL
# 7
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147-000155
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: