Raija P. Maddock, FNP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

188101-4405 Issued in UT

Practice address

415 East 3900 South
Maliheh Free Clinic
Salt Lake City, UT 84107

Phone

(801) 266-3700

Fax

(801) 266-3721

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1033530043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 BEVERLY ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84106",
            "telephone_number": "801-485-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EAST 3900 SOUTH",
            "address_2": "MALIHEH FREE CLINIC",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-266-3700",
            "fax_number": "801-266-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOCK",
        "first_name": "RAIJA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "FNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "188101-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Alisa Macpherson
• Emily Macpherson, MA CCC-SLP
• Elizabeth Scott Macwilliams, LCSW
• Christine Madden, CSW
• Stacy Madden, RN, CPNP
• Robert K Maddock Jr., MD
• Chloe Lorraine Maddox
• Brad Maddy
• Anne Carol Madeo, M.S.
• Hannah Mader, PA

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.