Madisen Dean, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R052076 Issued in SD

Practice address

24276 Airport Rd
Eagle Butte, SD 57625-8021

Phone

(605) 645-0063

NPI assigned

May 27, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1043833965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24276 AIRPORT RD",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576258021",
            "telephone_number": "605-645-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24276 AIRPORT RD",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576258021",
            "telephone_number": "605-645-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577832415",
            "country_code": "US",
            "telephone_number": "605-645-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MADISEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SD",
            "license": "R052076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE",
            "identifier": "R052076",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RPMS",
            "affiliation": "N",
            "address_1": "24276 Airport Rd",
            "city": "Eagle Butte",
            "state": "SD",
            "country_code": "US",
            "postal_code": "576258021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betty E Cook, REGISTERED NURSE
• Wendy Cara Cook
• Jamie Cottier
• CRST Community Health Representatives (CHR) Program
• Heather Josette Cuny, RN
• Lance Marshall Dillon, PHARMD
• Jeff Dixon
• Tierney Jo Donovan, RN
• Mary K. Dosch, RN
• Leila Dougherty, REGISTERED NURSE

• Medical-Surgical Registered Nurse in Eagle Butte, SD
• Providers in Eagle Butte, SD by specialty
• Medical-Surgical Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.