Active NPI
Lysa Wright
- Music Therapist
- Grand Forks, ND
National Provider Identifier
1285024240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 2012-05
- Practice address
- 1606 Dellwood CT
Grand Forks, ND 58201-5235 - Phone
- (218) 289-1204
- NPI assigned
- Jan 29, 2015
- 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 | 2012-05 | ND | Primary |
Addresses
Primary practice location
1606 Dellwood CT
Grand Forks, ND 58201-5235
Mailing address
PO Box 25
Northwood, ND 58267-0025
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 |
|---|---|---|---|
| 2012-05 | ND | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1285024240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "NORTHWOOD",
"state": "ND",
"postal_code": "582670025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 DELLWOOD CT",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015235",
"telephone_number": "218-289-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LYSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "ND",
"license": "2012-05",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.