Individual provider Active NPI

Kaye Madison, FNP-C

  • Rehabilitation Registered Nurse
  • Mesa, AZ
National Provider Identifier
1659340446
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
RN074197 Issued in AZ
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

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN074197OtherAZNURSING LICENSE

Other names 1

  • Ms. Kaye Byrd 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)
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.

Verify at the official NPI Registry.