Active NPI
Adam David Krajnikconde
- Music Therapist
- Eau Claire, WI
National Provider Identifier
1194331298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11239
- Practice address
- 1241B Menomonie St
Eau Claire, WI 54703-5974 - Phone
- (715) 210-5023
- NPI assigned
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 11239 | WI | Primary |
Addresses
Primary practice location
1241B Menomonie St
Eau Claire, WI 54703-5974
Mailing address
1241B Menomonie St
Eau Claire, WI 54703-5974
Phone (715) 210-5023
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 |
|---|---|---|---|
| 11239 | WI | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1194331298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241B MENOMONIE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035974",
"telephone_number": "715-210-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241B MENOMONIE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035974",
"telephone_number": "715-210-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAJNIKCONDE",
"first_name": "ADAM",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "WI",
"license": "11239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.