Individual provider Active NPI

Rickie Joyce Madison

  • Personal Care Attendant
  • Washington, DC
National Provider Identifier
1336732650
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
1931383 Issued in DC
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

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DCMedicaidDC

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1931383DCMDPersonal 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.

Verify at the official NPI Registry.