Individual provider Active NPI

Amanda Elizabeth McEntegart, MT-BC

  • Music Therapist
  • Sudlersville, MD
National Provider Identifier
1528810090
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
00079 Issued in MD
Practice address
600 Charles St
Sudlersville, MD 21668-1532
Phone
(410) 482-9148
Fax
(410) 479-8397
NPI assigned
Apr 5, 2024
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 00079 MD Primary

Addresses

Primary practice location

600 Charles St
Sudlersville, MD 21668-1532

Mailing address

600 Charles St
Sudlersville, MD 21668-1532
Phone (410) 482-9148

Other names 1

  • Amanda Elizabeth Williams Former name

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": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1528810090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CHARLES ST",
            "city": "SUDLERSVILLE",
            "state": "MD",
            "postal_code": "216681532",
            "telephone_number": "410-482-9148",
            "fax_number": "410-479-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHARLES ST",
            "city": "SUDLERSVILLE",
            "state": "MD",
            "postal_code": "216681532",
            "telephone_number": "410-482-9148",
            "fax_number": "410-479-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTEGART",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MD",
            "license": "00079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WILLIAMS",
            "middle_name": "ELIZABETH",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sudlersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.