Active NPI
Raquel Medina, MT-BC
- Music Therapist
- Phoenix, AZ
National Provider Identifier
1922769371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 16957
- Practice address
- 3221 N 16TH St Ste 201
Phoenix, AZ 85016-7159 - Phone
- (602) 840-6410
- NPI assigned
- Jan 7, 2022
- 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 | 16957 | AZ | Primary |
Addresses
Primary practice location
3221 N 16TH St Ste 201
Phoenix, AZ 85016-7159
Mailing address
3221 N 16TH St Ste 201
Phoenix, AZ 85016-7159
Phone (602) 840-6410
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nmtsa.org | ||
| CONNECT URL | info@nmtsa.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16957 | AZ | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1922769371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 N 16TH ST STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167159",
"telephone_number": "602-840-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 N 16TH ST STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167159",
"telephone_number": "602-840-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "RAQUEL",
"name_prefix": "Miss",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "AZ",
"license": "16957",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nmtsa.org",
"affiliation": "N",
"endpointDescription": "NMTSA contact",
"address_1": "3221 N 16th St Ste 201",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850167159",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@nmtsa.org",
"affiliation": "N",
"endpointDescription": "NMTSA contact",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "3221 N 16th St Ste 201",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850167159",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.