Individual provider Active NPI

Madison Eldreth, RN

  • School Registered Nurse
  • Burien, WA
National Provider Identifier
1346823515
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
N261156902 Issued in WA
Practice address
15675 Ambaum Blvd SW
Burien, WA 98166-2523
Phone
(206) 631-3011
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X N261156902 WA Primary

Addresses

Primary practice location

15675 Ambaum Blvd SW
Burien, WA 98166-2523

Mailing address

15675 Ambaum Blvd SW
Burien, WA 98166-2523

Other identifiers 1

IdentifierTypeStateIssuer
N261156902OtherWAWASHINGTO NURSING LICENSE

Other names 1

  • Madison Pledger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 0-madison.eldreth@highlineschools.org

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
N261156902WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1346823515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15675 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15675 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662523",
            "telephone_number": "206-631-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRETH",
        "first_name": "MADISON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "N261156902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTO NURSING LICENSE",
            "identifier": "N261156902",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "0-madison.eldreth@highlineschools.org",
            "affiliation": "N",
            "address_1": "15675 Ambaum Blvd SW",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981662523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "PLEDGER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.