Madinah Simpson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN148969 Issued in AZ

Practice address

4205 N 7TH Ave Ste 307
Phoenix, AZ 85013-3080

Phone

(602) 522-2595

Fax

(602) 258-4996

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Track House Life, LLC

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1447302914
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1659830552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 N 7TH AVE STE 307",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133080",
            "telephone_number": "602-522-2595",
            "fax_number": "602-258-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 N 7TH AVE STE 307",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133080",
            "telephone_number": "602-522-2595",
            "fax_number": "602-258-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MADINAH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "AZ",
            "license": "RN148969",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN148969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Simpson
• Charrid Simpson
• Dana Simpson, OTR/L
• Kendra L Simpson, LCSW, LISAC
• Lisa Simpson
• Marcella Celeste Simpson, NNP
• Marilyn Simpson
• Miriah Chelise Simpson, COTA/L, A.S
• Piroshka Simpson, FNP-C
• Scott A Simpson, D.D.S

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.