BRENDA MARIE WALLEMAN (NPI# 1891055034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891055034 |
| Entity Type | Individual |
| Full Name | BRENDA MARIE WALLEMAN |
| Credential | MT-BC |
| Practice Address |
400 Crater Lake Ave Medford OR 97504-6808 |
| Practice Telephone | (541) 622-2186 |
| Practice Fax Number | 5417709212 |
| Mailing Telephone | (541) 622-2186 |
| Mailing Fax Number | 5417709212 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2017-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | MT-T-10179874 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396898441 | Johanna Lydia Buck | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2007-01-20 |
| 1346876257 | Kelly Marie Barlow | Registered Nurse | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2020-03-23 |
| 1568971315 | Rebecca Meador | Occupational Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-09-25 |
| 1821526914 | Sound Music Therapy, LLC. | Music Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-06-01 |
| 1689105454 | Yvette Provosty | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-03-23 |
| 1467995084 | Neurotherapeutic Pediatric Therapies, Inc | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2016-11-30 |
| 1417346511 | Audrie Kingzett | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2015-01-13 |
| 1285060517 | Heather Chalmers Faith | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2013-09-18 |
| 1073950036 | Aimee A Disharoon | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2013-05-31 |
| 1659629137 | Wise Women Care Associates | Midwife, Lay | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2012-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1386119436 | Keith O'hara | Music Therapist | 900 Siskiyou Blvd Apt A6, Medford, OR 97504-7350 | 2018-10-04 |
| 1821526914 | Sound Music Therapy, LLC. | Music Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-06-01 |
| 1700200177 | Emily Sutin | Music Therapist | 10 Union St, Medford, NJ 08055-2416 | 2014-02-05 |
| 1407286024 | New Jersey School of Music | Music Therapist | 10 Union St, Medford, NJ 08055-2416 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789167 | Hannah Bennion | Music Therapist | 443 C St, Creswell, OR 97426-9541 | 2019-06-20 |
| 1912474263 | Matthew Eli Senn | Music Therapist | 26977 S Look Rd, Colton, OR 97017-8611 | 2018-10-25 |
| 1609363142 | Steven L Patton | Music Therapist | 3532 Sw Logan St, Portland, OR 97219-1657 | 2018-04-19 |
| 1851754774 | Catherine Hoxie Harris | Music Therapist | 9517 Sw Barbur Blvd, Portland, OR 97219-5414 | 2016-03-29 |
| 1285022814 | Marchele Gilman | Music Therapist | 2138 Nw 2nd Ave, Ontario, OR 97914-1960 | 2015-01-06 |
| 1801234430 | Sara Elizabeth Sweeney | Music Therapist | 8923 Se Alder St, Portland, OR 97216-1609 | 2013-06-05 |
| 1922360676 | Emily Ross | Music Therapist | 4825 Sw Caldew St, Portland, OR 97219-1538 | 2012-06-08 |
| 1356602551 | Eric Brian Bleich | Music Therapist | 22265 E Wild Fern Ln, Brightwood, OR 97011-8731 | 2012-06-04 |
| 1871853945 | Melissa Joy Potts | Music Therapist | 4651 Princess Ct Ne, Salem, OR 97305-2241 | 2012-05-23 |
| 1538436324 | Keeley Swete St Clair | Music Therapist | 5911 Se 18th Ave, Portland, OR 97202-5215 | 2011-11-21 |
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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.