Madilyn Elizabeth Lively, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113237 Issued in WV

Practice address

421 Carriage Dr Ste 417
Beckley, WV 25801-2805

Phone

(304) 256-0242

Fax

(304) 256-0244

NPI assigned

Jun 5, 2026

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

• Madilyn Elizabeth Bodkin Former name

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": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1255264669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HARPER FARM LN",
            "city": "NIMITZ",
            "state": "WV",
            "postal_code": "259788542",
            "telephone_number": "304-663-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CARRIAGE DR STE 417",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012805",
            "telephone_number": "304-256-0242",
            "fax_number": "304-256-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Harper Farm Ln",
            "address_purpose": "LOCATION",
            "city": "Nimitz",
            "state": "WV",
            "postal_code": "259788542",
            "country_code": "US",
            "telephone_number": "304-663-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "MADILYN",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADILYN",
            "last_name": "BODKIN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Staci Morgan Little, MSW
• Angela M Littreal, PTA
• Christy Ann Lively-Harris, MSPA-C
• Amanda Lively
• Erica Lively
• Brook Lea Lockridge
• Sheryl Logan
• Kennith Logwood
• Jenny Suzanne Long, PHARMD, BCPS
• Michael Keith Long, RN,BSN

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.