Individual provider Active NPI

Kimberly Ann Madden, MSN, RN

  • Administrator Registered Nurse
  • To'hajiilee, NM
National Provider Identifier
1437586476
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
227528 Issued in AZ
Practice address
129 Medicine Horse Dr
Tohajiilee, NM 87026-5145
Phone
(505) 908-2307
Fax
(505) 908-2310
NPI assigned
Oct 5, 2013
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 227528 AZ Primary
Case Management Registered Nurse 163WC0400X RN-77939 NM
Community Health Registered Nurse 163WC1500X RN-77939 NM
Community Health Registered Nurse 163WC1500X 105990 AK
Case Management Registered Nurse 163WC0400X 105990 AK
Administrator Registered Nurse 163WA2000X 105990 AK
Case Management Registered Nurse 163WC0400X 227528 AZ
Community Health Registered Nurse 163WC1500X 227528 AZ

Addresses

Primary practice location

129 Medicine Horse Dr
Tohajiilee, NM 87026-5145

Mailing address

11700 Bucking Bronco TRL SE
Albuquerque, NM 87123-3503
Phone (253) 844-8893

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 Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
105990AKMDCase Management Registered Nurse
RN-77939NMMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alaska Department of Administration Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1437586476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 BUCKING BRONCO TRL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233503",
            "telephone_number": "253-844-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MEDICINE HORSE DR",
            "city": "TOHAJIILEE",
            "state": "NM",
            "postal_code": "870265145",
            "telephone_number": "505-908-2307",
            "fax_number": "505-908-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "227528",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NM",
            "license": "RN-77939",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NM",
            "license": "RN-77939",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AK",
            "license": "105990",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AK",
            "license": "105990",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AK",
            "license": "105990",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "227528",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "227528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in To'hajiilee, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.