Active NPI
Christine Grace Wholey, MT-BC
- Music Therapist
- Rockford, IL
National Provider Identifier
1831361112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 08622
- Practice address
- 3342 Montlake Dr
Rockford, IL 61114-5519 - Phone
- (815) 979-3194
- NPI assigned
- Mar 27, 2008
- 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 | 08622 | IL | Primary |
Addresses
Primary practice location
3342 Montlake Dr
Rockford, IL 61114-5519
Mailing address
3342 Montlake Dr
Rockford, IL 61114-5519
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 |
|---|---|---|---|
| 08622 | IL | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1831361112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3342 MONTLAKE DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611145519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3342 MONTLAKE DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611145519",
"telephone_number": "815-979-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHOLEY",
"first_name": "CHRISTINE",
"middle_name": "GRACE",
"name_prefix": "Miss",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "IL",
"license": "08622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.