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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2025.

{
    "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

All providers in Red Wing, MN · Clinical Exercise Physiologist in Minnesota

Sources for this page

Verify at the official NPI Registry.