Pamela J Andersen, MT-BC, NMT MEMBER

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

13260 Issued in WI

Practice address

245 N. Metro Drive
Appleton, WI 54913

Phone

(920) 903-1009

Fax

(800) 791-3601

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By 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 1

Addresses

Other names 1

• Pamela J Emrich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Expressive Therapies LLC

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  • NPI 1225439326

  Music Therapist

  NPD
• Seed Inc

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1306489372
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1457994584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N. METRO DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-903-1009",
            "fax_number": "800-791-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N. METRO DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-903-1009",
            "fax_number": "800-791-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "MT-BC, NMT MEMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "WI",
            "license": "13260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "EMRICH",
            "middle_name": "J",
            "credential": "RMT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia V Amezquita-Lee
• Robert William Amorde, M.D.
• Anja Nicole Amundson, D.D.S.
• Nicole Anania, D.O.
• David Anderla, MD
• Chloe Anderson Kemp, LCSW
• Ann Marie E. Anderson
• David M Anderson, DDS, MD
• Heather Joi Anderson
• Jack Anderson, MD

• Music Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Music Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.