Natasha Brook Madera

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

328812 Issued in TX

Practice address

207 S Crescent St
Gorman, TX 76454-3067

Phone

(254) 243-0200

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1710514260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S CRESCENT ST",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "764543067",
            "telephone_number": "254-243-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S CRESCENT ST",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "764543067",
            "telephone_number": "254-243-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "NATASHA",
        "middle_name": "BROOK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "328812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George C Simmons Jr (Gorman Pharmacy)
• Gorman Independent School District
• Gorman Long Term Care, LLC (Homestead Nursing and Rehabilitation of Gorman)
• Gorman Pharmacy
• Danette Lara
• Pyramid Healthcare Corp (Heritage Manor of Gorman)
• Richard Watson (Ricon Pharmacy)
• Mandi Rae Senterfitt-Lowe, MS, CCC/SLP
• Joni West, SLP

• Licensed Practical Nurse in Gorman, TX
• Providers in Gorman, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.