Active NPI
Madyson Marie Meeks
- Athletic Trainer
- Woodland Hills, UT
National Provider Identifier
1366104978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 123943584810
- Practice address
- 150 Skyhawk Blvd
Woodland Hills, UT 84653-5559 - Phone
- (801) 423-3200
- NPI assigned
- Oct 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 123943584810 | UT | Primary |
Addresses
Primary practice location
150 Skyhawk Blvd
Woodland Hills, UT 84653-5559
Mailing address
1371 S 2900 E
Spanish Fork, UT 84660-3105
Phone (801) 859-9658
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123943584810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1366104978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 S 2900 E",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846603105",
"telephone_number": "801-859-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SKYHAWK BLVD",
"city": "WOODLAND HILLS",
"state": "UT",
"postal_code": "846535559",
"telephone_number": "801-423-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "MADYSON",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "123943584810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.