Pamela Sue Jackson, MT-BC, NMT

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

1540 Colorado Ave
Canon City, CO 81212-4511

Phone

(719) 431-3549

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Moved By Music Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moved by Music, LLC

  • Music Therapist
  • Paonia, CO
  • NPI 1205286549
  NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356464309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 BIRD POINT DR",
            "city": "COTOPAXI",
            "state": "CO",
            "postal_code": "812239302",
            "telephone_number": "719-942-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 COLORADO AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124511",
            "telephone_number": "719-431-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MT-BC, NMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOVED",
            "last_name": "MUSIC",
            "middle_name": "BY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Internal Medicine of Canon City, P.C.
• Ioof Grand Lodge of Colorado
• Brianne Ireland
• Amber Irving, LPC
• Rebecca Paul Ivins, DMD
• Yasha Jaffuel
• James F. Reppert, M.D.
• Jared M. Smith DMD, PC
• Jared M. Smith, D.M.D., P.C.
• Jenifer Burbank, P.C.

• Music Therapist in Canon City, CO
• Providers in Canon City, CO by specialty
• Music Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.