Jody Ann St. George Tucker, MT-BC, MA

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

07105

Practice address

2645 Midway Rd
Duluth, MN 55810-2112

Phone

(218) 349-1792

NPI assigned

May 22, 2007

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Access Music Therapy, LLC

  • Music Therapist
  • Duluth, MN
  • NPI 1619340437
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1346459823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 MIDWAY RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55810",
            "telephone_number": "218-349-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 MIDWAY RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558102112",
            "telephone_number": "218-349-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GEORGE TUCKER",
        "first_name": "JODY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MT-BC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MN",
            "license": "07105",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "07105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUSIC THERAPIST",
            "identifier": "07105",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Marys Medical Center (Essentia Health St Marys Medical Center)
• Emma St. Andrew
• St. Ann's Home
• St. Cloud TMS LLC
• St. Francis Health Services of Morris, Inc (Home Care Service Options - Duluth)
• Chad James St. Germain, M.D.
• St. Louis County Public Health
• St. Luke's Hospital
• St. Luke's Hospital of Duluth (Aspirus St Lukes Hospital Anesthesia)
• St. Luke's Hospital of Duluth (Aspirus St Lukes Clinic Duluth Pediatrics)

• Music Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Music Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.