Active NPI
Christian Laurits Nielsen, MT-BC
- Music Therapist
- Watertown, MN
National Provider Identifier
1497965156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 9908 State Highway 25 SW
Watertown, MN 55388-0867 - Phone
- (952) 221-1857
- Fax
- (952) 955-3272
- NPI assigned
- May 23, 2007
- Sex
- Male
- 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
9908 State Highway 25 SW
Watertown, MN 55388-0867
Mailing address
PO Box 867
Watertown, MN 55388-0867
Phone (952) 221-1857
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497965156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 867",
"city": "WATERTOWN",
"state": "MN",
"postal_code": "553880867",
"telephone_number": "952-221-1857",
"fax_number": "952-955-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9908 STATE HIGHWAY 25 SW",
"city": "WATERTOWN",
"state": "MN",
"postal_code": "553880867",
"telephone_number": "952-221-1857",
"fax_number": "952-955-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "CHRISTIAN",
"middle_name": "LAURITS",
"name_prefix": "Mr.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.