Organization Active NPI

Madison Wellness Center LLC

  • Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1023472529
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MADISON WELLNESS CENTER LLC
Practice address
5008 Atwood Dr
Suite 4
Richmond, KY 40475-8184
Phone
(859) 626-8833
Fax
(859) 626-8832
NPI assigned
Apr 11, 2016
Last updated
Aug 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Patrick Scott Campbell, DCNPI 1679676605
Title
Owner
Phone
(859) 626-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

5008 Atwood Dr
Suite 4
Richmond, KY 40475-8184

Mailing address

5008 Atwood Dr
Suite 4
Richmond, KY 40475-8184
Phone (859) 626-8833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1023472529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 ATWOOD DR",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758184",
            "telephone_number": "859-626-8833",
            "fax_number": "859-626-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 ATWOOD DR",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758184",
            "telephone_number": "859-626-8833",
            "fax_number": "859-626-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-626-8833",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.