Active NPI
Mary E Gibbons, M.M.E.
- Music Therapist
- Mesa, AZ
National Provider Identifier
1417367947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 2738 E Birchwood Ave
Mesa, AZ 85204-1520 - Phone
- (602) 369-8949
- NPI assigned
- May 6, 2014
- Last updated
- May 6, 2014
- 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 | Primary |
Addresses
Primary practice location
2738 E Birchwood Ave
Mesa, AZ 85204-1520
Mailing address
2753 E. Broadway S-101 #394
Mesa, AZ 85204
Phone (602) 369-8949
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
- Credentials
- Master of Mechanical Engineering
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1417367947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2753 E. BROADWAY S-101 #394",
"city": "MESA",
"state": "AZ",
"postal_code": "85204",
"telephone_number": "602-369-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2738 E BIRCHWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852041520",
"telephone_number": "602-369-8949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "M.M.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.