Carmen Marie Madsen

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

202102719NP-PP Issued in OR

Practice address

503 NE 8TH Ave
Milton Freewater, OR 97862-9791

Phone

(541) 861-2131

NPI assigned

Mar 11, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1346825312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 NE 8TH AVE",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629791",
            "telephone_number": "541-861-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 NE 8TH AVE",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629791",
            "telephone_number": "541-861-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "CARMEN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61150498",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202102719NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter A Lake, PT
• Rory Lambert, PHARM.D.
• Alvin J Lan
• Karla Kristine Lane, MA
• Thomas Scott Linner, DPT
• Divine Mansiba Maganto
• Manford E. Anliker (Blue Mountain Valley Physical Therapy Clinic)
• Chelsie Lynn Martuscelli, CRM
• Naomi Marie Matteson
• Heidi Jo Mayberry, LMT

• Psychiatric/Mental Health Nurse Practitioner in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.