Individual provider Active NPI

Madeleine Drummond, FNP-BC

  • Primary Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1306392097
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1032432 Issued in TX
Practice address
75 Varick St FL 5
New York, NY 10013-1917
Phone
(855) 961-1942
Fax
(866) 702-0882
NPI assigned
Aug 31, 2016
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X C-APN.0002517-C-NP CO
Primary Care Nurse Practitioner 363LP2300X GAA-NP001158 GA
Primary Care Nurse Practitioner 363LP2300X TPAN1084 FL
Primary Care Nurse Practitioner 363LP2300X 1032432 TX Primary

Addresses

Primary practice location

75 Varick St FL 5
New York, NY 10013-1917

Mailing address

1080 N Sherman St Apt 302
Denver, CO 80203-2855
Phone (615) 400-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0002517-C-NPCOMDPrimary Care Nurse Practitioner
TPAN1084FLMDPrimary Care Nurse Practitioner
GAA-NP001158GAMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: madeleine.drummond.1@14883.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1306392097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N SHERMAN ST APT 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032855",
            "telephone_number": "615-400-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VARICK ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131917",
            "telephone_number": "855-961-1942",
            "fax_number": "866-702-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "MADELEINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "C-APN.0002517-C-NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "GAA-NP001158",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "TPAN1084",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1032432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.