Individual provider Active NPI

Keandra White, MT-BC

  • Music Therapist
  • Lutz, FL
National Provider Identifier
1851995575
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
18288 N US Highway 41
Lutz, FL 33549-4400
Phone
(813) 527-9638
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

18288 N US Highway 41
Lutz, FL 33549-4400

Mailing address

3901 Turnbury St
Valrico, FL 33596-7050
Phone (813) 226-7055

Other identifiers 1

IdentifierTypeStateIssuer
F226MedicaidFL

Other names 1

  • Keandra Brown Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keandra@musictherapyfl.com Direct Tampa Bay Institute for Music Therapy, LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achieveability Therapy Services CurrentSince Mar 19, 2023 Accepting new patients
Achieveability Therapy Services CurrentSince Jun 16, 2024 Accepting new patients
Tampa Bay Institute for Music Therapy, LLC Music Therapist Past Accepting new patients

Locations

18288 N US Highway 41
Lutz, FL 33549
Phone (813) 527-9638

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1851995575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 TURNBURY ST",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967050",
            "telephone_number": "813-226-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18288 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-527-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEANDRA",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F226",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keandra@musictherapyfl.com",
            "affiliation": "Y",
            "endpointDescription": "Company Email",
            "affiliationName": "Tampa Bay Institute for Music Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8629 Alexandra Arbor Ln",
            "city": "Temple Terrace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336376330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEANDRA",
            "last_name": "BROWN",
            "credential": "MT-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.