Active NPI
Maryann Madsen, RN
- Home Health Registered Nurse
- Brighton, MI
National Provider Identifier
1639217110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 4704101014
- Practice address
- 2980 Dorr Rd
Suite 102
Brighton, MI 48116-9459 - Phone
- (810) 229-0200
- Fax
- (810) 220-7916
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704101014 | MI | Primary |
Addresses
Primary practice location
2980 Dorr Rd
Suite 102
Brighton, MI 48116-9459
Mailing address
2980 Dorr Rd
Suite 102
Brighton, MI 48116-9459
Phone (810) 229-0200
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704101014 | MI | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jam Senior Services LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639217110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 DORR RD",
"address_2": "SUITE 102",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481169459",
"telephone_number": "810-229-0200",
"fax_number": "810-220-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 DORR RD",
"address_2": "SUITE 102",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481169459",
"telephone_number": "810-229-0200",
"fax_number": "810-220-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "MARYANN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704101014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.