Ian Franklin Wilkerson, MT-BC, NMT

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

4769 Perezoso Calle
Santa Rosa, CA 95409-2647

Phone

(707) 480-7658

NPI assigned

Dec 18, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1013246123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4769 PEREZOSO CALLE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092647",
            "telephone_number": "707-480-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 PEREZOSO CALLE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954092647",
            "telephone_number": "707-480-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "IAN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Mr.",
        "credential": "MT-BC, NMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Wiles, M.D.
• Sharon M. Wiles, DPM
• Adrienne Wiley-Thomas, ACSW
• Ayana Wiley, RRT
• Carlie Jeanette Wilkerson, P.A.
• Robin Wilkey, MFT
• Philip L Wilkinson, M.B.,B.S.
• Sabrina Wilkinson
• David Frederick Willat, DC
• Randall Willens, L.AC.

• Music Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Music Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.