Active NPI
Madison Hale Imler
- Behavior Analyst
- Columbia, MO
National Provider Identifier
1558977447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2024031122
- Practice address
- 200 N Keene St BLDG 2
Columbia, MO 65201-8143 - Phone
- (573) 884-6052
- Fax
- (573) 884-3195
- NPI assigned
- Sep 17, 2020
- Last updated
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2024031122 | MO | Primary |
Addresses
Primary practice location
200 N Keene St BLDG 2
Columbia, MO 65201-8143
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024031122 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1558977447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N KEENE ST BLDG 2",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018143",
"telephone_number": "573-884-6052",
"fax_number": "573-884-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMLER",
"first_name": "MADISON",
"middle_name": "HALE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2024031122",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "200 N Keene St Bldg 2",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652018143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, MO
- Allyson J Ihms, CRNA
- Winifred Ubeloka Iklaki, MD
- Andrew McMorris Iliff, MD
- Syed K Imam, MD
- Ashton Reilly Imhoff
- Independent Living Center of Mid-Missouri Inc. (Services for Independent Living)
- Independent Living Concepts, LLC
- Individual Marriage and Family Enrichment LLC
- Derek J Ingalls, LPC
- Kevin Lucas Ingalls, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.