Active NPI
Kori Staab
- Music Therapist
- Platte City, KS
National Provider Identifier
1316453699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 13586
- Practice address
- 24690 Mo Hwy 92
Platte City, KS 64079-1966 - Phone
- (785) 410-8426
- NPI assigned
- Dec 21, 2017
- Last updated
- Sep 13, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 13586 | Primary | |
| Behavior Technician | 106S00000X | RBT-15-09756 | ||
| Behavior Technician | 106S00000X | RBT-17-38877 |
Addresses
Primary practice location
24690 Mo Hwy 92
Platte City, KS 64079-1966
Mailing address
24690 Mo Hwy 92
Platte City, KS 64079-1966
Phone (785) 410-8426
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201230650 | Medicaid | KS | |
| RBT-17-38877 | Other | RBT (REGISTERED BEHAVIOR TECHNICIAN) | |
| 13586 | Other | MT-BC (MUSIC THERAPIST BOARD CERTIFIED) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kori@musictherapyontheprairie.com |
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": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1316453699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24690 MO HWY 92",
"city": "PLATTE CITY",
"state": "KS",
"postal_code": "640791966",
"telephone_number": "785-410-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24690 MO HWY 92",
"city": "PLATTE CITY",
"state": "KS",
"postal_code": "640791966",
"telephone_number": "785-410-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAAB",
"first_name": "KORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2021-09-13",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "13586",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-15-09756",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-17-38877",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201230650",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT (REGISTERED BEHAVIOR TECHNICIAN)",
"identifier": "RBT-17-38877",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT-BC (MUSIC THERAPIST BOARD CERTIFIED)",
"identifier": "13586",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kori@musictherapyontheprairie.com",
"affiliation": "N",
"endpointDescription": "E-mail for Provider",
"address_1": "24690 MO Hwy 92",
"city": "Platte City",
"state": "KS",
"country_code": "US",
"postal_code": "640791966",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.