Active NPI
Brooke Marie Witherite
- Music Therapist
- El Paso, TX
National Provider Identifier
1548730203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 13826
- Practice address
- 3 Butterfield Trail Blvd Ste 111
El Paso, TX 79906-4950 - Phone
- (610) 393-1610
- NPI assigned
- Nov 26, 2018
- 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 | 13826 | TX | Primary |
Addresses
Primary practice location
3 Butterfield Trail Blvd Ste 111
El Paso, TX 79906-4950
Mailing address
3 Butterfield Trail Blvd Ste 111
El Paso, TX 79906-4950
Phone (610) 393-1610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13826 | Other | TX | CERTIFICATION BOARD FOR MUSIC THERAPISTS |
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 |
|---|---|---|---|
| 13826 | TX | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1548730203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BUTTERFIELD TRAIL BLVD STE 111",
"city": "EL PASO",
"state": "TX",
"postal_code": "799064950",
"telephone_number": "610-393-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BUTTERFIELD TRAIL BLVD STE 111",
"city": "EL PASO",
"state": "TX",
"postal_code": "799064950",
"telephone_number": "610-393-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERITE",
"first_name": "BROOKE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "TX",
"license": "13826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION BOARD FOR MUSIC THERAPISTS",
"identifier": "13826",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.