Individual provider Active NPI

Madeleine Cissna, AUD

  • Audiologist
  • Kensington, MD
National Provider Identifier
1235225491
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00931 Issued in MD
Practice address
11014 Glueck LN
Kensington, MD 20895-1618
Phone
(301) 221-2208
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005812 PA
Audiologist 231H00000X 00931 MD Primary

Addresses

Primary practice location

11014 Glueck LN
Kensington, MD 20895-1618

Mailing address

11014 Glueck LN
Kensington, MD 20895-1618
Phone (301) 221-2208

Other practice location 1

Bldg.2 Wramc/Audiology Speech Center 6th
6900 Georgia Avenue, NW
Washington, DC 20307-0001
Phone (202) 782-8574

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00931MDMDAudiologist
AT005812PAMDAudiologist

Interoperability endpoints

  • Direct secure messaging: madeleinecissna@sbentc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1235225491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 GLUECK LN",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951618",
            "telephone_number": "301-221-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11014 GLUECK LN",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951618",
            "telephone_number": "301-221-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg.2 Wramc/Audiology Speech Center 6th",
            "address_2": "6900 Georgia Avenue, NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "202-782-8574",
            "fax_number": "202-782-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISSNA",
        "first_name": "MADELEINE",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005812",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.