Patty Kay Madrigal

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

79540-9 Issued in MN

Practice address

204 S Washington Ave
Suite 100
Albert Lea, MN 56007-2555

Phone

(507) 369-5701

Fax

(507) 369-5702

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Embrace Home Care LLC

  • Home Health Agency
  • Albert Lea, MN
  • NPI 1477843209
  NPD (past) Authorized official

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1275902991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072555",
            "telephone_number": "507-369-5701",
            "fax_number": "507-369-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072555",
            "telephone_number": "507-369-5701",
            "fax_number": "507-369-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "PATTY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 170893-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-191526-2",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "222421-1",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L 073655-2",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "79540-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477843209",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A522457100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A697988100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Joseph Lombardi
• Stephanie L Lorenson, NP
• Jeffrey Paul Lotts, M.D.
• Judy Eileen Lucas, LICSW
• George Robert Lundstrom, D.D.S.
• Melissa Madson
• Timothy Juul Madson, PT
• Adison Lydia Malakowsky
• Deborah Lynn Malecha, RN
• Beth Manges

• Licensed Practical Nurse in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.