Abigail Maddox

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

3331 Trailridge
Longmont, CO 80504-6250

Phone

(970) 315-2628

Fax

(970) 251-7243

NPI assigned

May 3, 2023

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

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1134818479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 TRAILRIDGE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805046250",
            "telephone_number": "970-315-2628",
            "fax_number": "970-251-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 TRAILRIDGE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805046250",
            "telephone_number": "970-315-2628",
            "fax_number": "970-251-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L. Mackintosh, LCSW
• Jonathan Maczko
• Carolyn Anne Madden, RBT
• Christopher C Madden, MD
• Reilly Madden, MS CCC-SLP
• Tammy J Madewell, RDH
• Karyn Devette Madison
• Katie Alice Madson
• Kelsea Elizabeth Magel, MA, MS, BCBA, RBT
• Jasmine Mahannah

• Nutritionist in Longmont, CO
• Providers in Longmont, CO by specialty
• Nutritionist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.