Active NPI
Kristiana Miner, MT-BC
- Music Therapist
- Bloomington, IL
National Provider Identifier
1144629361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 09295
- Practice address
- 2 Pine Cone CT
Apt 112
Bloomington, IL 61704-4757 - Phone
- (309) 831-5545
- NPI assigned
- Aug 14, 2014
- 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 | 09295 | IL | Primary |
Addresses
Primary practice location
2 Pine Cone CT
Apt 112
Bloomington, IL 61704-4757
Mailing address
2 Pine Cone CT
Apt 112
Bloomington, IL 61704-4757
Phone (309) 831-5545
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 |
|---|---|---|---|
| 09295 | IL | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1144629361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PINE CONE CT",
"address_2": "APT 112",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044757",
"telephone_number": "309-831-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PINE CONE CT",
"address_2": "APT 112",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044757",
"telephone_number": "309-831-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "KRISTIANA",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "IL",
"license": "09295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.