Individual provider Active NPI

Gabriel Isa Madrone, M.A.

  • Specialist
  • Winslow, AZ
National Provider Identifier
1376768358
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
800 N Apache Ave
1100 Colorado Ave
Winslow, AZ 86047-3819
Phone
(928) 288-8300
Fax
(928) 288-8393
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AZ Primary

Addresses

Primary practice location

800 N Apache Ave
1100 Colorado Ave
Winslow, AZ 86047-3819

Mailing address

PO Box 271
Winslow, AZ 86047-0271
Phone (928) 288-8300

Other identifiers 1

IdentifierTypeStateIssuer
125727MedicaidAZ

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1376768358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860470271",
            "telephone_number": "928-288-8300",
            "fax_number": "928-288-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N APACHE AVE",
            "address_2": "1100 COLORADO AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860473819",
            "telephone_number": "928-288-8300",
            "fax_number": "928-288-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRONE",
        "first_name": "GABRIEL",
        "middle_name": "ISA",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125727",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.