Active NPI
Tara Jean Smith, MT-BC
- Music Therapist
- Stanwood, WA
National Provider Identifier
1518357052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 27309 76TH Dr NW
Stanwood, WA 98292-7450 - Phone
- (360) 707-1579
- NPI assigned
- Feb 4, 2015
- 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 | WA | Primary |
Addresses
Primary practice location
27309 76TH Dr NW
Stanwood, WA 98292-7450
Mailing address
27309 76TH Dr NW
Stanwood, WA 98292
Phone (360) 707-1579
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": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1518357052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27309 76TH DR NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "360-707-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27309 76TH DR NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982927450",
"telephone_number": "360-707-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TARA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
- Suzanne Elizabeth Skegrud, LMP
- Sleep Care Inc
- Marleshia Michelle Smith, LMP
- Russell John Smith, D.M.D.
- Stefanie Joyce Smith, RN
- Snohomish County Fire Protection Di District Unit 19
- Snohomish County Fire Protection District 14
- Snohomish County Fire Protection District 18
- Solace 1St Afh LLC
- Source Northwest Integrative Medicine (Stanwood Integrative Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.