Active NPI
Kaye Madison, FNP-C
- Rehabilitation Registered Nurse
- Mesa, AZ
National Provider Identifier
1659340446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Registered Nurse
- License
- RN074197
- Practice address
- 303 N Centennial Way
Mesa, AZ 85201-6733 - Phone
- (480) 649-3111
- Fax
- (480) 649-3113
- NPI assigned
- Mar 15, 2006
- 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 |
|---|---|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | RN074197 | AZ | Primary |
Addresses
Primary practice location
303 N Centennial Way
Mesa, AZ 85201-6733
Mailing address
303 North Centenial Way
Mesa, AZ 85201-4421
Phone (480) 649-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN074197 | Other | AZ | NURSING LICENSE |
Other names 1
- Ms. Kaye Byrd
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1659340446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 NORTH CENTENIAL WAY",
"city": "MESA",
"state": "AZ",
"postal_code": "852014421",
"telephone_number": "480-649-3111",
"fax_number": "480-649-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N CENTENNIAL WAY",
"city": "MESA",
"state": "AZ",
"postal_code": "852016733",
"telephone_number": "480-649-3111",
"fax_number": "480-649-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "KAYE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "AZ",
"license": "RN074197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN074197",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYE",
"last_name": "BYRD",
"prefix": "MS.",
"credential": "FNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.