Active NPI
Kayla D'Ann Minchew, MT-BC
- Music Therapist
- Midland, TX
National Provider Identifier
1386980373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 08004
- Practice address
- 3310 Cimmaron Ave
Midland, TX 79707-5802 - Phone
- (432) 301-4284
- NPI assigned
- Dec 18, 2012
- Last updated
- Jan 22, 2013
- 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 | 08004 | TX | Primary |
Addresses
Primary practice location
3310 Cimmaron Ave
Midland, TX 79707-5802
Mailing address
3310 Cimmaron Ave
Midland, TX 79707-5802
Phone (432) 301-4284
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 |
|---|---|---|---|
| 08004 | TX | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1386980373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 CIMMARON AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075802",
"telephone_number": "432-301-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 CIMMARON AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075802",
"telephone_number": "432-301-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINCHEW",
"first_name": "KAYLA",
"middle_name": "D'ANN",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "TX",
"license": "08004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.