Active NPI
Kerry Madden, ATC
- Athletic Trainer
- North Andover, MA
National Provider Identifier
1043856594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3361
- Practice address
- 315 Turnpike St
North Andover, MA 01845-5806 - Phone
- (240) 688-1120
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3361 | MA | Primary |
Addresses
Primary practice location
315 Turnpike St
North Andover, MA 01845-5806
Mailing address
504 Louden CT
Silver Spring, MD 20901-3661
Phone (240) 688-1120
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1043856594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 LOUDEN CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209013661",
"telephone_number": "240-688-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455806",
"telephone_number": "240-688-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "KERRY",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "3361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.