Individual provider Active NPI

Madison Shea Joutras, RN

  • Registered Nurse
  • Los Angeles, CA
National Provider Identifier
1659160190
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN95393637 Issued in CA
Practice address
3183 Wilshire Blvd # 800
Los Angeles, CA 90010-1211
Phone
(310) 443-5273
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95393637 CA Primary

Addresses

Primary practice location

3183 Wilshire Blvd # 800
Los Angeles, CA 90010-1211

Mailing address

1420 Peerless PL Apt 221
Los Angeles, CA 90035-2869
Phone (402) 310-5059

Other names 1

  • Shea Joutras Professional name

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

LicenseStateTypeSpecialty
RN95393637CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1659160190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PEERLESS PL APT 221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352869",
            "telephone_number": "402-310-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 WILSHIRE BLVD # 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101211",
            "telephone_number": "310-443-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUTRAS",
        "first_name": "MADISON",
        "middle_name": "SHEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95393637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEA",
            "last_name": "JOUTRAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.