Madison Stalls, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11033471 Issued in FL

Practice address

108 Bartram Oaks Walk Ste 201
Fruit Cove, FL 32259-3246

Phone

(904) 899-1234

NPI assigned

Jul 29, 2024

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

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1194554089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 JULINGTON CREEK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232016",
            "telephone_number": "904-482-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BARTRAM OAKS WALK STE 201",
            "city": "FRUIT COVE",
            "state": "FL",
            "postal_code": "322593246",
            "telephone_number": "904-899-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLS",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Miller, PT, DPT
• Sayward Brett Minter, LPN
• Carol Elizabeth Neumann
• Ross Quinn Osborn, M.D.
• Ped-E-Care
• Raquel Stelzer, APRN
• Michaele Bailey Suarez, DC
• The Playful Family, Inc.
• Lisa D Vargo, LCSW
• Wal-Mart Stores East LP

• All providers in Fruit Cove, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.