Active NPI
Erin Miranda Madsen
- Critical Care Neonatal Nurse Practitioner
- Reno, NV
National Provider Identifier
1376162495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 832557
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-7890
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN56276 | NV | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 95020070 | CA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 832557 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
15 Michael PL
Sparks, NV 89441-7298
Phone (775) 287-0989
Other practice location 1
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3050
Other practice location 2
235 W 6th St
Reno, NV 89503-4548
Phone (775) 770-3061
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN56276 | NV | MD | Neonatal Intensive Care Registered Nurse |
| 832557 | NV | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1376162495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MICHAEL PL",
"city": "SPARKS",
"state": "NV",
"postal_code": "894417298",
"telephone_number": "775-287-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-7890"
}
],
"practiceLocations": [
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "916-703-3050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 W 6th St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895034548",
"country_code": "US",
"telephone_number": "775-770-3061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADSEN",
"first_name": "ERIN",
"middle_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "NV",
"license": "RN56276",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "CA",
"license": "95020070",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NV",
"license": "832557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.