Megan Maddox

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

8609162-3102 Issued in UT

Practice address

395 W Cougar Blvd Ste 401
Provo, UT 84604-3338

Phone

(801) 357-7546

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By 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 1

Addresses

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1285255547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W COUGAR BLVD STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W COUGAR BLVD STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043338",
            "telephone_number": "801-357-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "8609162-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brielle Mackay, PA-C
• Marie-Ann Jennise Mackenzie
• Charis M Mackey
• Sondra June Macnaughtan, MSW LCSW
• Dawn Madden
• Jared Madeo, NP
• Penny J Mader, CNP
• Lynette Madill, RN
• Kortney Mae Madrigal, RN
• Erika Jackson Madsen

• Diabetes Educator Registered Nurse in Provo, UT
• Providers in Provo, UT by specialty
• Diabetes Educator Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.