Madeleine Atemkeng Nso Nana

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200190 Issued in ND

Practice address

1550 Belly Boulevard MN 56560
207
Morehead, MN 56560

Phone

(701) 373-6394

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Years Home Health PLLC

  • In Home Supportive Care Agency
  • Moorhead, MN
  • NPI 1134949126
  NPD Authorized official
• Premium Community Care PLLC

  • In Home Supportive Care Agency
  • Oklahoma City, OK
  • NPI 1871471532
  NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1194552968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BELLY BOULEVARD MN 56560",
            "address_2": "207",
            "city": "MOREHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "701-373-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BELLY BOULEVARD MN 56560",
            "address_2": "207",
            "city": "MOREHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "701-373-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEMKENG NSO NANA",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "200190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.