Active NPI
Camryn Edwards, MT-BC
- Music Therapist
- Chicago, IL
National Provider Identifier
1467178194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17308
- Practice address
- 6348 N Milwaukee Ave # 347
Chicago, IL 60646-3728 - Phone
- (818) 394-0649
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 17308 | AL | Primary |
Addresses
Primary practice location
6348 N Milwaukee Ave # 347
Chicago, IL 60646-3728
Mailing address
1618 N Marshfield Ave Apt 1R
Chicago, IL 60622-1550
Phone (303) 885-1006
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 |
|---|---|---|---|
| 17308 | AL | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1467178194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 N MARSHFIELD AVE APT 1R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221550",
"telephone_number": "303-885-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6348 N MILWAUKEE AVE # 347",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463728",
"telephone_number": "818-394-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CAMRYN",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "AL",
"license": "17308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.