Individual provider Active NPI

Madison Kyle, MSW, LGSW

  • Social Worker
  • Tea, SD
National Provider Identifier
1760007223
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28922 Issued in MN
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

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
6294SDMDPharmacist
6297SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Together, Inc CurrentSince Dec 6, 2022 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.

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

Verify at the official NPI Registry.