Active NPI
Alexandra Blakewell
- Music Therapist
- Crystal Lake, IL
National Provider Identifier
1154843738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 7351 Great Hill Rd
Crystal Lake, IL 60012-1633 - Phone
- (815) 354-5511
- NPI assigned
- Jul 14, 2017
- 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 | IL | Primary |
Addresses
Primary practice location
7351 Great Hill Rd
Crystal Lake, IL 60012-1633
Mailing address
7351 Great Hill Rd
Crystal Lake, IL 60012-1633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225A00000X | Other | IL | 225A00000X |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1154843738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7351 GREAT HILL RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600121633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7351 GREAT HILL RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600121633",
"telephone_number": "815-354-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKEWELL",
"first_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "225A00000X",
"identifier": "225A00000X",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.