Susan Kaye Madsen, RN

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

95024110 Issued in CA

Practice address

4583 W Warm Canyon LN
South Jordan, UT 84009-5029

Phone

(801) 404-0059

NPI assigned

Nov 30, 2017

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

Other names 1

• Susan Kaye Gardner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1245744010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4583 W WARM CANYON LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095029",
            "telephone_number": "801-404-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4583 W WARM CANYON LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095029",
            "telephone_number": "801-404-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "SUSAN",
        "middle_name": "KAYE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "CA",
            "license": "95024110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GARDNER",
            "middle_name": "KAYE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mack Chiropractic PC
• Naomi Mackert
• Rachel Renee Macneill, LCSW
• Bailie Marie Madsen, RD
• Montana Madsen
• Alexis Maestas, NP
• Gabriela Hernandez Majlov
• Patricia Anne Major Willardson, APRN
• Jennifer Lee Maldonado, LMFT
• Yashasvi Manektala, PA-C

• Occupational Health Registered Nurse in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Occupational Health Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.