Madolynn Jon Duckwall

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

159 Elizabeth LN
Burnsville, MN 55337-2709

Phone

(612) 423-7211

NPI assigned

Jan 23, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1275163750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 ELIZABETH LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372709",
            "telephone_number": "612-423-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 ELIZABETH LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372709",
            "telephone_number": "612-423-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWALL",
        "first_name": "MADOLYNN",
        "middle_name": "JON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdimalik M Duale
• Ayan Abdikarin Duale
• Ridwan Duale
• Salad Hussein Dualle
• Mahir Ahmed Ducale
• Aubrey Dudley, LAT, ATC
• Debora K Duffy, CRNA
• Tonia Dukart
• Courtney Dukek
• Emma L Duncanson, MD

• Lactation Consultant (Non-RN) in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Lactation Consultant (Non-RN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.