Individual provider Active NPI

Madalyn Marie Snowden, MHS, OTR/L

  • Early Intervention Provider Agency
  • Plainfield, IL
National Provider Identifier
1386294197
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
21503 Franklin Cir
Plainfield, IL 60544-6103
Phone
(217) 653-3441
NPI assigned
Sep 13, 2019
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

21503 Franklin Cir
Plainfield, IL 60544-6103

Mailing address

21503 Franklin Cir
Plainfield, IL 60544-6103
Phone (217) 653-3441

Other practice location 1

1346 W George St
Chicago, IL 60657-6624
Phone (217) 653-3441

Other practice location 2

16W486 Lake Dr Apt 7-102
Willowbrook, IL 60527-2521
Phone (217) 653-3441

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

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1386294197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21503 FRANKLIN CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605446103",
            "telephone_number": "217-653-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21503 FRANKLIN CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605446103",
            "telephone_number": "217-653-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1346 W George St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576624",
            "country_code": "US",
            "telephone_number": "217-653-3441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16W486 Lake Dr Apt 7-102",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272521",
            "country_code": "US",
            "telephone_number": "217-653-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "MADALYN",
        "middle_name": "MARIE",
        "credential": "MHS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.