Active NPI
Alexandra Marie Freeman, MT-BC
- Music Therapist
- Greenville, TX
National Provider Identifier
1235953589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17759
- Practice address
- 2105 Stonewall St
Greenville, TX 75401-3343 - Phone
- (631) 804-2889
- NPI assigned
- Nov 13, 2024
- Last updated
- Nov 13, 2024
- 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 | 17759 | NC | Primary |
Addresses
Primary practice location
2105 Stonewall St
Greenville, TX 75401-3343
Mailing address
2105 Stonewall St.
Greenville, TX 75401
Phone (631) 804-2889
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 |
|---|---|---|---|
| 17759 | NC | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1235953589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 STONEWALL ST.",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "75401",
"telephone_number": "631-804-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 STONEWALL ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754013343",
"telephone_number": "631-804-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "ALEXANDRA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": "NC",
"license": "17759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.