Chelsea Madison, CSOM, COMT,CBS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

547 N Mount Juliet Rd Ste 225
Mount Juliet, TN 37122-8333

Phone

(615) 754-2134

NPI assigned

Mar 18, 2021

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Breathewell Group

  • Specialist
  • Mount Juliet, TN
  • NPI 1144949546
  NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1366028664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N MOUNT JULIET RD STE 225",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228333",
            "telephone_number": "615-754-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N MOUNT JULIET RD STE 225",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228333",
            "telephone_number": "615-754-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "CHELSEA",
        "credential": "CSOM, COMT,CBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "7841",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Allen Lucy, OTR/L
• Luxottica of America Inc.
• Dusty Lynn, SA-C
• Lyttle Fox Therapy
• Sharon Diane Lyttle, OTRL
• Byron Justin Magedanz, PHARM.D.
• Amanda Paige Maggart, BSDH, RDH
• Holli Marie Mahoney
• Marian Malek
• Yvette Mallory, PSYD

• Specialist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.