Destiny Rae Boyum, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

13029 Issued in MN

Practice address

847 5TH St NW
Rochester, MN 55901-2759

Phone

(507) 236-7793

NPI assigned

May 11, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: destiny@healingrhythmsmt.com

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1033793385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 5TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 5TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012759",
            "telephone_number": "507-236-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYUM",
        "first_name": "DESTINY",
        "middle_name": "RAE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MN",
            "license": "13029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Destiny@healingrhythmsmt.com",
            "affiliation": "Y",
            "endpointDescription": "Office email",
            "affiliationName": "Healing Rhythms Music Therapy, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "847 5th St NW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559012759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Wilson Boyer
• Gabrielle Skye Boysen, DNP, APRN, CNP
• Julia F Boysen, P.T.
• Aaron J Boyum, PT
• Cindy M Boyum, RN, MS, CNP
• James Boyum, MD
• Julianna Marie Boyum, OT
• Kirsti K Boyum, MPT
• Jennifer E Braaten, RN
• Autumn E Braddock, PHD

• Music Therapist in Rochester, MN
• Providers in Rochester, MN by specialty
• Music Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.