Active NPI
Madeleine Cissna, AUD
- Audiologist
- Kensington, MD
National Provider Identifier
1235225491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00931 | MD | MD | Audiologist |
| AT005812 | PA | MD | Audiologist |
Interoperability endpoints
- 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.