Martha Madrid, R.N.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

25249 Issued in MT

Practice address

2625 E Indian School Rd Unit 115
Phoenix, AZ 85016-6794

Phone

(406) 860-8057

NPI assigned

Nov 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Martha J Madrid Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1487027272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E INDIAN SCHOOL RD UNIT 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166794",
            "telephone_number": "406-860-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E INDIAN SCHOOL RD UNIT 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166794",
            "telephone_number": "406-860-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MT",
            "license": "25249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN, MONTANA (COMPACT STATE)",
            "identifier": "25249",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "MADRID",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sophia Madoson
• Corina Madrid
• Edward A Madrid, DC
• Elvia Madrid, RDN, CDCES
• Lori Lynne Madrid, MSW, LCSW
• Melissa Ann Madrid, MSW, BHT
• Phinicia Maribel Madrigal Alcon
• Alice Verduzco Madriz, BA, RBT
• Kelsey Ann Madsen, DO
• Shane B Madsen, PHARMD

• Diabetes Educator Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Diabetes Educator Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.