Madden Wilson, RDN, LDN, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2836 Issued in TN

Practice address

2100 Clinch Ave Ste 510
Knoxville, TN 37916-2225

Phone

(865) 546-3998

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madden Marie Hogan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Networks

• KY PPO
• MS PPO
• MS PPO D-SNP
• KY PPO C-SNP
• MS PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gi for Kids, PLLC

  • Pediatric Gastroenterology Physician
  • Knoxville, TN
  • NPI 1215392030
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1013497833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 WILLMANN LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 510",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162225",
            "telephone_number": "865-546-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MADDEN",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDEN",
            "last_name": "HOGAN",
            "middle_name": "MARIE",
            "credential": "RDN, LDN, CNSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia E Wilson, LMFT
• Kimberly Shannon Wilson, PHD
• Kristina Wilson
• Landon Wilson, DMD
• Lauren Wilson
• Mary M. Wilson, M.A., CCC-SLP
• Molly Wilson, PHARMD
• Norma Jean Wilson, MSN, FNP, PMHNP
• Olcie Lee Wilson III, D.M.D.
• Pamela Wilson

• Registered Dietitian in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.