Active NPI
Tasia Dockery, MT-BC
- Music Therapist
- Roswell, GA
National Provider Identifier
1275877672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 10500
- Practice address
- 12010 Etris Rd
A-150
Roswell, GA 30075-1421 - Phone
- (678) 223-3987
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Sex
- Female
- 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 | 10500 | NC | Primary |
Addresses
Primary practice location
12010 Etris Rd
A-150
Roswell, GA 30075-1421
Mailing address
1382 Chatley Way
Woodstock, GA 30188-5527
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 |
|---|---|---|---|
| 10500 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The George Center Foundation | Music Therapist | 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": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1275877672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 CHATLEY WAY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12010 ETRIS RD",
"address_2": "A-150",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300751421",
"telephone_number": "678-223-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKERY",
"first_name": "TASIA",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NC",
"license": "10500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
- Divyo Health Solutions, Inc. - Store #2
- Olivia Dixon, MS, CCC-SLP
- Nina Dmitrieff, DNH, LMT, MLD-C, CCT
- DNT Foundation
- Vy Tuong Doan, PHARM.D.
- Doctors Choice Advantage Medical and Weight Management Services (dba Doctors Choice Advantage Medical)
- Alexandra Louise Dodd, M.D.
- Thomas Lee Dodson, DMD
- Leslie Kim Doehring, PSY.D.
- Christopher Dollinger, MS, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.