Active NPI
Richard David Noel
- Music Therapist
- Tucson, AZ
National Provider Identifier
1013524719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 3009524
- Practice address
- 4565 W Lord Redman Loop
Tucson, AZ 85741-4042 - Phone
- (520) 631-3681
- NPI assigned
- Sep 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | |||
| Behavior Technician | 106S00000X | |||
| Pain Management Registered Nurse | 163WP0000X | 3009524 | AZ | |
| Music Therapist | 225A00000X | 3009524 | AZ | Primary |
Addresses
Primary practice location
4565 W Lord Redman Loop
Tucson, AZ 85741-4042
Mailing address
PO Box 91493
Tucson, AZ 85752-1493
Phone (520) 631-3681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601637737 | Medicaid | AZ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009524 | AZ | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601078400000",
"number": "1013524719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91493",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857521493",
"telephone_number": "520-631-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 W LORD REDMAN LOOP",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857414042",
"telephone_number": "520-631-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "RICHARD",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-26",
"last_updated": "2020-09-26",
"certification_date": "2020-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Pain Management",
"state": "AZ",
"license": "3009524",
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": "AZ",
"license": "3009524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601637737",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.