Chantal Madiata

Primary specialty

Respite CareTaxonomy code 385H00000X

License

BH5270 Issued in AZ

Practice address

3641 W Bellewood PL
Tucson, AZ 85741-5407

Phone

(520) 351-9952

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1679954549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486608",
            "telephone_number": "520-721-1887",
            "fax_number": "520-721-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 W BELLEWOOD PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857415407",
            "telephone_number": "520-351-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIATA",
        "first_name": "CHANTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH5270",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "BH4643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICES",
            "identifier": "BH5270",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Joanne Madeline, BA, RBT
• Madera Counseling Center
• Madera Medical Center, PC
• Joshikha Madhav
• Devanshi Madhvani, OTD
• Siraelle Madiata
• Brian Kevin Madigan, M.D.
• Rebecca Schofield Madigan, D.O.
• Chika Phyllis Madike, M.D.
• Anna Madrid

• Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.