Individual provider Active NPI

Lillieth I Grand, MS, MT-BC

  • Music Therapist
  • Tualatin, OR
National Provider Identifier
1699006379
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
8900 SW Sweek Dr Apt 1417
Milestone Music Therapy
Tualatin, OR 97062-7536
Phone
(503) 214-0510
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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 Primary

Addresses

Primary practice location

8900 SW Sweek Dr Apt 1417
Milestone Music Therapy
Tualatin, OR 97062-7536

Mailing address

8900 SW Sweek Dr Apt 1417
Tualatin, OR 97062-7536
Phone (503) 214-0510

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1699006379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW SWEEK DR APT 1417",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627536",
            "telephone_number": "503-214-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW SWEEK DR APT 1417",
            "address_2": "MILESTONE MUSIC THERAPY",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627536",
            "telephone_number": "503-214-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "LILLIETH",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MS, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.