ELIZABETH ANN KIMURA (NPI# 1851705123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851705123 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN KIMURA |
| Credential | MT-BC |
| Practice Address |
1799 Kings Gate Ln Crystal Lake IL 60014-2906 |
| Practice Telephone | 8152767786 |
| Practice Fax Number | 8157881321 |
| Mailing Telephone | 8152767786 |
| Mailing Fax Number | 8157881321 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | 11259 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1799 KINGS GATE LN |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649366063 | Stacey Marie Isrow | Specialist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2006-10-04 |
| 1679031223 | Jennifer Joann Dienelt | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2019-03-02 |
| 1134642796 | Emily Jeanne Winters | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2017-07-25 |
| 1831540228 | Christine Hall | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-27 |
| 1154771863 | Deisy Maldonado | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-14 |
| 1124477435 | Lisa Bieze | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-07 |
| 1275979536 | Emily Rae Seymour | Music Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2013-05-14 |
| 1932460144 | Stephanie Ranae Purintun | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2012-06-04 |
| 1134401938 | Amy Michelle Vanroekel | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2011-09-16 |
| 1992087852 | Danielle Rene Jakes | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154843738 | Alexandra Blakewell | Music Therapist | 7351 Great Hill Rd, Crystal Lake, IL 60012-1633 | 2017-07-14 |
| 1275979536 | Emily Rae Seymour | Music Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2013-05-14 |
| 1376840819 | Alexandra Marie Isrow | Music Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372631 | River City Music Therapy, LLC | Music Therapist | 1504 W Moss Ave, Peoria, IL 61606-1638 | 2020-10-02 |
| 1003442724 | Valerie Wilk | Music Therapist | 1145 W Morse Ave Apt B1, Chicago, IL 60626-3512 | 2020-03-13 |
| 1104465178 | Greater Chicago Music Therapy Inc. | Music Therapist | 25 N Greenwood Ave, Palatine, IL 60074-5421 | 2019-12-23 |
| 1215571153 | Christina Ashley Koenig | Music Therapist | 1610 Sauk Rd Apt 1105, Dixon, IL 61021-8719 | 2019-11-04 |
| 1053878777 | Morgan Rocke | Music Therapist | 211 S Prospect Rd Ste 9, Bloomington, IL 61704-4910 | 2019-02-28 |
| 1942767207 | Molly Ann Grettenberger | Music Therapist | 580 Slawin Ct, Mt Prospect, IL 60056-2183 | 2019-02-22 |
| 1386117992 | Abigail Chloe Pabst | Music Therapist | 2307 N Sawyer Ave Apt 1, Chicago, IL 60647-7999 | 2019-01-07 |
| 1962971895 | Alyssa Jasmine Ott | Music Therapist | 1350 E Touhy Ave # 130, Des Plaines, IL 60018-3303 | 2018-11-20 |
| 1285109553 | Allison Marie Dunn | Music Therapist | 1148 W Chicago Ave, Chicago, IL 60642-5701 | 2018-10-12 |
| 1831678366 | Erin Ponto Freund | Music Therapist | 2065 Eldorado Dr, Geneva, IL 60134-4326 | 2018-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.