Individual provider Active NPI

Artemis Demetra Xenick, MT-BC

  • Contractor
  • Tallahassee, FL
National Provider Identifier
1134095847
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
19324 Issued in FL
Practice address
1700 N Meridian Rd
Tallahassee, FL 32303-5646
Phone
(229) 400-0722
NPI assigned
Oct 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 19324 FL Primary
Music Therapist 225A00000X 19324 FL

Addresses

Primary practice location

1700 N Meridian Rd
Tallahassee, FL 32303-5646

Mailing address

3003 Richview Park Cir S
Tallahassee, FL 32301-3413
Phone (813) 367-7308

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

LicenseStateTypeSpecialty
19324FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Pouranfar LLC Contractor CurrentSince Oct 21, 2025 Accepting new patients
Healing Hearts Music Therapy, LLC Contractor CurrentSince Oct 12, 2025 Accepting new patients

Locations

1700 N Meridian Rd
Tallahassee, FL 32303
Phone (229) 400-0722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1134095847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 RICHVIEW PARK CIR S",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013413",
            "telephone_number": "813-367-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MERIDIAN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035646",
            "telephone_number": "229-400-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENICK",
        "first_name": "ARTEMIS",
        "middle_name": "DEMETRA",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "19324",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "FL",
            "license": "19324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.