Active NPI
Noelle Janette Larson, MT-BC
- Music Therapist
- Whitewater, WI
National Provider Identifier
1336870591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 12054
- Practice address
- W3566 Vannoy Dr
Whitewater, WI 53190-3002 - Phone
- (262) 203-6359
- NPI assigned
- Jun 20, 2022
- 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 | 12054 | MA | Primary |
Addresses
Primary practice location
W3566 Vannoy Dr
Whitewater, WI 53190-3002
Mailing address
W3566 Vannoy Dr
Whitewater, WI 53190-3002
Phone (262) 203-6359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-359-7498 | Other | WI | IRS |
Other names 1
- Noelle Janette Werner
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 |
|---|---|---|---|
| 12054 | MA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1336870591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W3566 VANNOY DR",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531903002",
"telephone_number": "262-203-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W3566 VANNOY DR",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531903002",
"telephone_number": "262-203-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "NOELLE",
"middle_name": "JANETTE",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Music Therapist",
"state": "MA",
"license": "12054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "87-359-7498",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NOELLE",
"last_name": "WERNER",
"middle_name": "JANETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Whitewater, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.