Individual provider Active NPI

Madelyn Mary Wauson

  • Technician
  • Ankeny, IA
National Provider Identifier
1356124283
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
2825 S Ankeny Blvd
Ankeny, IA 50023-9417
Phone
(515) 598-7200
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X Primary

Addresses

Primary practice location

2825 S Ankeny Blvd
Ankeny, IA 50023-9417

Mailing address

1235 SW Merchant St Apt 104
Ankeny, IA 50023-2488
Phone (469) 396-8342

Other practice location 1

1235 SW Merchant St Apt 104
Ankeny, IA 50023-2488
Phone (469) 396-8342

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

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1356124283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SW MERCHANT ST APT 104",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232488",
            "telephone_number": "469-396-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239417",
            "telephone_number": "515-598-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 SW Merchant St Apt 104",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500232488",
            "country_code": "US",
            "telephone_number": "469-396-8342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUSON",
        "first_name": "MADELYN",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.