Individual provider Active NPI

Sharita La'Dawn Madison, RRT

  • Registered Respiratory Therapist
  • Atlanta, GA
National Provider Identifier
1043801418
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
9358 Issued in GA
Practice address
2450 Camellia LN NE Apt 1349
Atlanta, GA 30324-6291
Phone
(615) 426-7942
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X 2575 TN
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X 76149 TX
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X 9358 GA Primary

Addresses

Primary practice location

2450 Camellia LN NE Apt 1349
Atlanta, GA 30324-6291

Mailing address

2450 Camellia LN NE Apt 1349
Atlanta, GA 30324-6291
Phone (116) 154-2679

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smadison40@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76149TXMDProfessional Counselor
2575TNMDOccupational Therapy Assistant
9358GAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1043801418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CAMELLIA LN NE APT 1349",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246291",
            "telephone_number": "116-154-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 CAMELLIA LN NE APT 1349",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246291",
            "telephone_number": "615-426-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "SHARITA",
        "middle_name": "LA'DAWN",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "TN",
            "license": "2575",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "76149",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "GA",
            "license": "9358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smadison40@outlook.com",
            "affiliation": "N",
            "address_1": "2450 Camellia Ln NE Apt 1349",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303246291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.