Active NPI
Keandra White, MT-BC
- Music Therapist
- Lutz, FL
National Provider Identifier
1851995575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F226 | Medicaid | FL |
Other names 1
- Keandra Brown
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieveability Therapy Services | Current | Accepting new patients | |
| Achieveability Therapy Services | Current | 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.
-
- Clinic/Center
- Lutz, FL
- NPI 1467294355
-
- Community/Behavioral Health Agency
- Lutz, FL
- NPI 1619398385
-
- Music Therapist
- Temple Terrace, FL
- NPI 1801227616
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.