Individual provider Active NPI

Misty Michele Madden, BCBA

  • Behavior Analyst
  • Nashville, TN
National Provider Identifier
1134604010
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1050 Issued in TN
Practice address
424 Church St Ste 2000
Nashville, TN 37219-3304
Phone
(530) 933-9892
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X F2306223 CA
Behavior Analyst 103K00000X 1050 TN Primary

Addresses

Primary practice location

424 Church St Ste 2000
Nashville, TN 37219-3304

Mailing address

2007 Windroe Dr
Clarksville, TN 37042-5251
Phone (530) 933-9892

Other practice location 1

2007 Windroe Dr
Clarksville, TN 37042-5251
Phone (530) 933-9892

Other names 1

  • Misty Michele Sheppard Former name

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
1050TNMDHearing Instrument Specialist
F2306223CAMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1134604010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 WINDROE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370425251",
            "telephone_number": "530-933-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST STE 2000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372193304",
            "telephone_number": "530-933-9892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 Windroe Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370425251",
            "country_code": "US",
            "telephone_number": "530-933-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "MISTY",
        "middle_name": "MICHELE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "F2306223",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "SHEPPARD",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.