Individual provider Active NPI

Mikelle Cheyenne Hamel, MT-BC

  • Music Therapist
  • Oklahoma City, OK
National Provider Identifier
1912596834
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
15240 Issued in AZ
Practice address
4917 S Karen St
Oklahoma City, OK 73135-2209
Phone
(405) 590-5469
NPI assigned
Jan 14, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 15240 AZ Primary

Addresses

Primary practice location

4917 S Karen St
Oklahoma City, OK 73135-2209

Mailing address

4917 S Karen St
Oklahoma City, OK 73135-2209
Phone (405) 590-5469

Other names 1

  • Mrs. Mikelle Cheyenne Hagedorn Other name

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

LicenseStateTypeSpecialty
15240AZMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1912596834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 S KAREN ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352209",
            "telephone_number": "405-590-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 S KAREN ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352209",
            "telephone_number": "405-590-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "MIKELLE",
        "middle_name": "CHEYENNE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "AZ",
            "license": "15240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKELLE",
            "last_name": "HAGEDORN",
            "middle_name": "CHEYENNE",
            "prefix": "MRS.",
            "credential": "MT-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

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