Active NPI
Jamie Anderson, MT-BC
- Music Therapist
- Portland, OR
National Provider Identifier
1487374229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 14644
- Practice address
- 6906 N Richards St
Portland, OR 97203-6138 - Phone
- (971) 336-0338
- NPI assigned
- Aug 31, 2022
- Last updated
- Aug 31, 2022
- Sex
- Male
- 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 | 14644 | NU | Primary |
Addresses
Primary practice location
6906 N Richards St
Portland, OR 97203-6138
Mailing address
6571 NE Cherry Dr Apt 2132
Hillsboro, OR 97124-7730
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embodied Life Therapy Center LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Portland, OR
- NPI 1265039564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1487374229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6571 NE CHERRY DR APT 2132",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6906 N RICHARDS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972036138",
"telephone_number": "971-336-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JAMIE",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NU",
"license": "14644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.