Active NPI
Meara Von Malottke Hillman, MT-BC
- Music Therapist
- Saint Paul, MN
National Provider Identifier
1730879768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 16811
- Practice address
- 1504 Saint Clair Ave Apt 108
Saint Paul, MN 55105-2351 - Phone
- (314) 566-0206
- NPI assigned
- May 12, 2023
- 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 | 16811 | MN | Primary |
Addresses
Primary practice location
1504 Saint Clair Ave Apt 108
Saint Paul, MN 55105-2351
Mailing address
315 E 5TH St Ste 202
Waterloo, IA 50703-4757
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 |
|---|---|---|---|
| 16811 | MN | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1730879768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E 5TH ST STE 202",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 SAINT CLAIR AVE APT 108",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052351",
"telephone_number": "314-566-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON MALOTTKE HILLMAN",
"first_name": "MEARA",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "MN",
"license": "16811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.