Active NPI
Mallory Rexroad Even, MT-BC
- Music Therapist
- Norcross, GA
National Provider Identifier
1144373796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 08015
- Practice address
- 3316 Cameron TRL
Norcross, GA 30092-3372 - Phone
- (404) 579-8070
- NPI assigned
- Jan 18, 2007
- Last updated
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 08015 | Primary |
Addresses
Primary practice location
3316 Cameron TRL
Norcross, GA 30092-3372
Mailing address
3316 Cameron TRL
Norcross, GA 30092-3372
Phone (404) 579-8070
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Music Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1144373796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 CAMERON TRL",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300923372",
"telephone_number": "404-579-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 CAMERON TRL",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300923372",
"telephone_number": "404-579-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVEN",
"first_name": "MALLORY",
"middle_name": "REXROAD",
"name_prefix": "Mrs.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "08015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.