Toni Jeanne Madrid, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW22 Issued in FL

Practice address

930 Bryan Cir
Mounds, OK 74047-5392

Phone

(918) 366-0301

Fax

(918) 366-0301

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Jeanne Madrid Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2010.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1225009558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BRYAN CIR",
            "city": "MOUNDS",
            "state": "OK",
            "postal_code": "740475392",
            "telephone_number": "918-366-0301",
            "fax_number": "918-366-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BRYAN CIR",
            "city": "MOUNDS",
            "state": "OK",
            "postal_code": "740475392",
            "telephone_number": "918-366-0301",
            "fax_number": "918-366-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "TONI",
        "middle_name": "JEANNE",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340015800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "MADRID",
            "credential": "LM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Mounds, OK
• Midwife in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.