Madison Nichole Putman

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3430 Irby Dr Apt 2309
Conway, AR 72034-7692

Phone

(501) 428-8912

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1356839096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 IRBY DR APT 2309",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347692",
            "telephone_number": "501-428-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 IRBY DR APT 2309",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347692",
            "telephone_number": "501-428-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "MADISON",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Puckett, PHARMD
• Jose Pulido
• Samantha Pulley, LPC
• William Kyle Purcell, LPC
• Pamela Kelly Purvis, LPC
• Albert Braley Pyland, DDS
• Ashley Pyle, MS CCC-SLP
• Pyramid Therapy Services, Inc
• Quantum Laboratory Services LLC
• Angela Beth Quattlebaum, PHYSICAL THERAPIST

• Student in an Organized Health Care Education/Training Program in Conway, AR
• Providers in Conway, AR by specialty
• Student in an Organized Health Care Education/Training Program in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.