Active NPI
Madison Lee Jones, RN
- Registered Nurse
- Imperial Beach, CA
National Provider Identifier
1801540760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95219690
- Practice address
- 1451 Louden LN
Imperial Beach, CA 91932-3244 - Phone
- (619) 727-8983
- NPI assigned
- Feb 9, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95219690 | CA | Primary |
| Registered Nurse | 163W00000X | 816965 | NV | |
| Registered Nurse | 163W00000X | 0001308270 | VA |
Addresses
Primary practice location
1451 Louden LN
Imperial Beach, CA 91932-3244
Mailing address
1451 Louden LN
Imperial Beach, CA 91932-3244
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95219690 | CA | MD | Registered Nurse |
| 816965 | NV | MD | Registered Nurse |
| 0001308270 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1801540760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 LOUDEN LN",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919323244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 LOUDEN LN",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919323244",
"telephone_number": "619-727-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MADISON",
"middle_name": "LEE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "95219690",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NV",
"license": "816965",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001308270",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Imperial Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.