Active NPI
Madelene Susan Todel, CNM AND PA
- Advanced Practice Midwife
- San Jose, CA
National Provider Identifier
1669519997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM 1150
- Practice address
- Kaiser Permanente Santa Teresa 250 Hospital Parkway
Kaiser Santa Teresa Hospital
San Jose, CA 95119 - Phone
- (408) 972-6107
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM 1150 | CA | Primary |
Addresses
Primary practice location
Kaiser Permanente Santa Teresa 250 Hospital Parkway
Kaiser Santa Teresa Hospital
San Jose, CA 95119
Mailing address
2149 Stuart St # 1
Berkeley, CA 94705-1012
Phone (510) 548-5703
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
- Certified Nurse Midwife, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM 1150 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669519997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 STUART ST # 1",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051012",
"telephone_number": "510-548-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE SANTA TERESA 250 HOSPITAL PARKWAY",
"address_2": "KAISER SANTA TERESA HOSPITAL",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "408-972-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODEL",
"first_name": "MADELENE",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "CNM AND PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "CNM 1150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
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.