Madison Puccetti

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

757350 Issued in CA

Practice address

790 Sonoma Ave
Santa Rosa, CA 95404-4713

Phone

(707) 544-3295

NPI assigned

Sep 8, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1801706536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7757 MONTERO DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949288115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044713",
            "telephone_number": "707-544-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2403 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954033007",
            "country_code": "US",
            "telephone_number": "707-544-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCCETTI",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "757350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ellen Prue, D.C.
• Nancy Patricia Prussiamerritt
• Gary Michael Pryor
• Brian Prystowsky, M.D.
• Psych Strategies Inc a Psychological Corp (PsychStrategies)
• Jeffrey Paul Puckett, ASW
• Joseph Christopher Puentes, PSY.D.
• Roberta Lynn Puentes
• Josie Puett
• Saul Pulido-Torres, MASSAGE THERAPIST

• Licensed Vocational Nurse in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.