Active NPI
Madry Mobile Healthcare and Consultants LLC
- Nurse Practitioner
- Crown Point, IN
National Provider Identifier
1730949496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MADRY MOBILE HEALTHCARE AND CONSULTANTS LLC
- Practice address
- 9800 Connecticut Dr
Crown Point, IN 46307-7840 - Phone
- (872) 216-5411
- Fax
- (219) 644-3682
- NPI assigned
- Mar 20, 2024
- Last updated
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aundrea Gooden, APN
- Title
- Nurse Practitioner
- Phone
- (872) 216-5411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
9800 Connecticut Dr
Crown Point, IN 46307-7840
Mailing address
9800 Connecticut Dr
Crown Point, IN 46307-7840
Phone (872) 216-5411
National Provider Directory
National Provider DirectoryLocations
4137 Sauk Trl
Ste 163
Richton Park, IL 60471
Phone (872) 216-5411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Olympia Fields, IL
- NPI 1689061855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1730949496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 CONNECTICUT DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077840",
"telephone_number": "872-216-5411",
"fax_number": "219-644-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 CONNECTICUT DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077840",
"telephone_number": "872-216-5411",
"fax_number": "219-644-3682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADRY MOBILE HEALTHCARE AND CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-20",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "GOODEN",
"authorized_official_first_name": "AUNDREA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "872-216-5411",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.