Kiae Waite-Gollab, MT-BC, NMT

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

13280 Issued in TX

Practice address

8310 Ewing Halsell Dr
San Antonio, TX 78229-3715

Phone

(210) 616-0885

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Ecumenical Center for Religion and Health

  • Counselor
  • San Antonio, TX
  • NPI 1720147093
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1568156453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 ECKHERT RD APT 7205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403153",
            "telephone_number": "361-816-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 EWING HALSELL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293715",
            "telephone_number": "210-616-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE-GOLLAB",
        "first_name": "KIAE",
        "credential": "MT-BC, NMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "TX",
            "license": "13280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Malia Rosaline Wainwright, IDMT
• Haley Amber Waise, DPT
• Brittni Wait, DDS
• Shannon Wait, APRN, FNP-C
• Shelby Taylor Wait, FNP
• Linda Kay Waiters
• Madeleine Parish Waites, MD
• Travis Waites
• Diana Camello Waja, RBT
• Aislinn M Wake, MS CCC/SLP

• Music Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Music Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.