Active NPI
Katelyn Margaret Luckett, MT-BC
- Music Therapist
- Lisle, IL
National Provider Identifier
1891573192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17047
- Practice address
- 2500 Cabot Dr
Lisle, IL 60532-3711 - Phone
- (630) 864-3800
- NPI assigned
- Sep 18, 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 | 17047 | Primary |
Addresses
Primary practice location
2500 Cabot Dr
Lisle, IL 60532-3711
Mailing address
2500 Cabot Dr
Lisle, IL 60532-3711
Phone (630) 864-3800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1891573192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CABOT DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605323711",
"telephone_number": "630-864-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CABOT DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605323711",
"telephone_number": "630-864-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKETT",
"first_name": "KATELYN",
"middle_name": "MARGARET",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "17047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.