Michelle Wanstreet, MT-BC, RBT, NMT

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

11807 Issued in NU

Practice address

315 E 5TH St Ste 202
Waterloo, IA 50703-4757

Phone

(563) 248-5781

NPI assigned

Oct 18, 2019

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1912540394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 REINHARDT DR",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662051504",
            "telephone_number": "314-606-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST STE 202",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034757",
            "telephone_number": "563-248-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSTREET",
        "first_name": "MICHELLE",
        "credential": "MT-BC, RBT, NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": "11807",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-15-03563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03590)
• Walgreens
• Cheryl Wallace
• Walmart Inc. (Walmart Pharmacy 10-1496)
• Jiselle Walters
• Meghan Ward, ATC, LAT
• Caleb Warner
• Andrew Washburn, PHARMD
• Casaundra Washington
• Sarah Waskow, DPT

• Music Therapist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Music Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.