Madeline Rose Beedle
Individual provider Active NPI Clinical Exercise Physiologist · Red Wing, MN
NPI 1689538282 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1689538282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Exercise Physiologist 224Y00000X
- Practice address
- 701 Hewitt Blvd
Red Wing, MN 55066-2848 - Phone
- (651) 267-5460
- Fax
- (651) 267-5946
- NPI assigned
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | MN | Yes |
Addresses
Primary practice location
701 Hewitt Blvd
Red Wing, MN 55066-2848
Mailing address
1561 Walnut St
Prescott, WI 54021-1067
NPI Registry JSON
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1689538282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1561 WALNUT ST",
"city": "PRESCOTT",
"state": "WI",
"postal_code": "540211067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 HEWITT BLVD",
"city": "RED WING",
"state": "MN",
"postal_code": "550662848",
"telephone_number": "651-267-5460",
"fax_number": "651-267-5946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEDLE",
"first_name": "MADELINE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Wing, MN
- Jessica Baszuro
- Erica Lynn-Eischen Bauhs
- Megan Beck
- Keith R Becker
- Nathan R Beckman
- Kayvon Behnam
- Kristine Beil
- Lucinda G Beise
- Laurie J Bell
- Benedictine Care Centers
All providers in Red Wing, MN · Clinical Exercise Physiologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.