Active NPI
Rickie Joyce Madison
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1336732650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 1931383
- Practice address
- 115 16TH St NE Apt 2014
Washington, DC 20002-6556 - Phone
- (202) 487-7476
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 1931383 | DC | Primary |
Addresses
Primary practice location
115 16TH St NE Apt 2014
Washington, DC 20002-6556
Mailing address
5509 Bass PL SE
Washington, DC 20019-6381
Phone (202) 487-7476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC | Medicaid | DC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Consumedirectcare | Health Information Exchange (HIE) | |
| CONNECT URL | Consumerdirectcare | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1931383 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1336732650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 BASS PL SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200196381",
"telephone_number": "202-487-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 16TH ST NE APT 2014",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200026556",
"telephone_number": "202-487-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "RICKIE",
"middle_name": "JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "1931383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Consumedirectcare",
"affiliation": "N",
"endpointDescription": "Home aid.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 16th St NE Apt 2014",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200026556",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Consumerdirectcare",
"affiliation": "N",
"endpointDescription": "Home aid",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 16th St NE Apt 2014",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200026556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.