Active NPI
Jessica Aren Madson, MS RD LD
- Registered Dietitian
- Oskaloosa, IA
National Provider Identifier
1730213802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01752
- Practice address
- 1229 C Ave E
Oskaloosa, IA 52577-4246 - Phone
- (641) 672-3303
- NPI assigned
- Mar 14, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01752 | IA | Primary |
Addresses
Primary practice location
1229 C Ave E
Oskaloosa, IA 52577-4246
Mailing address
108 12TH Ave E
Oskaloosa, IA 52577-3933
Phone (641) 295-5561
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01752 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730213802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 12TH AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525773933",
"telephone_number": "641-295-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSON",
"first_name": "JESSICA",
"middle_name": "AREN",
"credential": "MS RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oskaloosa, IA
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.