Andra E. Maddox, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT8027 Issued in NM

Practice address

98 State Highway 150
Suite 7
El Prado, NM 87529-1589

Phone

(575) 776-1117

Fax

(575) 776-1119

NPI assigned

Aug 25, 2023

Last updated

Aug 25, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Colonias Chiropractic Center Inc

  • Chiropractor
  • El Prado, NM
  • NPI 1356555262
  NPD

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1548045941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875291589",
            "telephone_number": "575-776-1117",
            "fax_number": "575-776-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 STATE HIGHWAY 150",
            "address_2": "SUITE 7",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875291589",
            "telephone_number": "575-776-1117",
            "fax_number": "575-776-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "ANDRA",
        "middle_name": "E.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "MT8027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risa Lehrer, LPCC
• Lifehouse Vista Taos
• Amy Longfellow, PA
• Suzanne Lovelace, L.P.C.C.
• Tara Carmelina Lupo, BSW
• Martin Guided Counseling, LLC
• David M Martin, LPCC
• Nicole J McDowell-Horn, LMHC, LPC-A
• Sonrisa Rachel Medina
• Mindy, LLC

• Specialist in El Prado, NM
• Providers in El Prado, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.