Organization Active NPI

Madison Swim Academy

  • Specialist
  • Sun Prairie, WI
National Provider Identifier
1285084368
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MADISON SWIM ACADEMY
Practice address
605 Chase Blvd
Sun Prairie, WI 53590-2382
Phone
(608) 630-9800
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Emily Jackson
Title
Managing Director
Phone
(608) 630-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

605 Chase Blvd
Sun Prairie, WI 53590-2382

Mailing address

5200 Anton Dr
Fitchburg, WI 53719-1704
Phone (608) 630-9800

National Provider Directory

National Provider Directory

Locations

3029 Fitchrona Rd
Fitchburg, WI 53719

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1285084368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 ANTON DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537191704",
            "telephone_number": "608-630-9800",
            "fax_number": "608-441-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CHASE BLVD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902382",
            "telephone_number": "608-630-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SWIM ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "608-630-9800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.