Active NPI
Madison Kyle, MSW, LGSW
- Social Worker
- Tea, SD
National Provider Identifier
1760007223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28922
- Practice address
- 317 N Heritage Ave
Tea, SD 57064-2539 - Phone
- (605) 494-1500
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28922 | MN | Primary |
Addresses
Primary practice location
317 N Heritage Ave
Tea, SD 57064-2539
Mailing address
PO Box 33
Larchwood, IA 51241-0033
Phone (712) 209-3897
Other practice location 1
4400 W 69th St
Sioux Falls, SD 57108-8170
Phone (605) 322-4005
Other names 1
- Madison Burns
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 27, 2023 through Nov 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6294 | SD | MD | Pharmacist |
| 6297 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Hope Together, Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Pierre, SD
- NPI 1942899679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1760007223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33",
"city": "LARCHWOOD",
"state": "IA",
"postal_code": "512410033",
"telephone_number": "712-209-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N HERITAGE AVE",
"city": "TEA",
"state": "SD",
"postal_code": "570642539",
"telephone_number": "605-494-1500"
}
],
"practiceLocations": [
{
"address_1": "4400 W 69th St",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571088170",
"country_code": "US",
"telephone_number": "605-322-4005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KYLE",
"first_name": "MADISON",
"credential": "MSW, LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "BURNS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tea, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.