Katerina Elizabeth Mary Maddern, DNP, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

12349 Issued in CT

Practice address

185 Asylum St
Hartford, CT 06103-3408

Phone

(866) 686-2504

NPI assigned

Oct 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1508638263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CARINA RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732404",
            "telephone_number": "203-928-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ASYLUM ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061033408",
            "telephone_number": "866-686-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDERN",
        "first_name": "KATERINA",
        "middle_name": "ELIZABETH MARY",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "12349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Maczaj, MD
• Andreea Mada, D.D.S.
• Jennifer E. Madan Cohen, MD
• Jessica Maddela, PA-C
• Marcia Madden-Baggett, BSC HRM
• Claudia Andrea Madrid
• Ruben Estrada Madrid, PA-C
• Brittany Maffei
• Jennifer Iris Magalhaes, M.ED
• Lakshmi P Magavi, M.D.

• Adult Health Nurse Practitioner in Hartford, CT
• Providers in Hartford, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.