Patricia C Mader, A.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4150P Issued in KY

Practice address

11209 Vista Greens Dr
Louisville, KY 40241-3444

Phone

(502) 386-0921

NPI assigned

Jun 17, 2005

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 identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• On-Site Dermatology Consultants

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1134140759
  NPD (past) Authorized official
• Associates in Dermatology, PLLC

  • Dermatology Physician
  • Louisville, KY
  • NPI 1629083399

  Nurse Practitioner

  NPD (past)
• Elderserve, Inc.

  • Home Health Agency
  • Louisville, KY
  • NPI 1982886784
  NPD (past)
• Kentuckiana Emergency Physicians

  • Emergency Care Clinic/Center
  • Louisville, KY
  • NPI 1942362058
  NPD (past)
• Kentuckiana Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1801833140
  NPD (past)
• Louisville Dermatology ASC PSC

  • Dermatology Physician
  • Louisville, KY
  • NPI 1669539789

  Nurse Practitioner

  NPD (past)
• Louisville Radiology Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Owensboro, KY
  • NPI 1639115447
  NPD (past)
• Merclan PLLC

  • Group Psychotherapy Psychologist
  • Crestwood, KY
  • NPI 1487687174
  NPD (past)
• Physicians Skin Care PLLC

  • Dermatology Physician
  • Louisville, KY
  • NPI 1750564530
  NPD (past)
• Madison Dermatology LLC

  • Procedural Dermatology Physician
  • Madison, IN
  • NPI 1215007455
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1285639005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14612 WOODSTREAM PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455164",
            "telephone_number": "502-244-3330",
            "fax_number": "502-244-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 VISTA GREENS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413444",
            "telephone_number": "502-386-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "PATRICIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4150P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000360626",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50008080",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000486305",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78011855",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2646419000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Maddox, NP
• Michael Montgomery Maddox
• Made to Shine With Helping Hands
• Cameron Mader
• George Wayne Mader, RPA
• Susan F Maderic, M.D.
• David Madewell
• Naga Krishnakanth Madireddy, M.D.
• Janise Linnett Madison-Hill
• Laine Madison, PHARMD

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.