Jessica Rosalee Madison, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

634577 Issued in NY

Practice address

49 Marvin Ave
Troy, NY 12180-6425

Phone

(518) 273-6646

NPI assigned

May 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1861067043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MARVIN AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806425",
            "telephone_number": "518-273-6646",
            "fax_number": "518-273-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MARVIN AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806425",
            "telephone_number": "518-273-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "JESSICA",
        "middle_name": "ROSALEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "634577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295770683",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmadison@troycenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "49 Marvin Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121806425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Britney Mackinnon, LMHC
• Walter J. Mackinnon, CRNA
• Jacqueline Nancy Maclasco, RD
• Allison Marie Maclellan, PA
• Marlene Macri, MS ED
• Peter R Maggiore, MD
• Ahad Makarachi
• Judith A. N. Makowiec, FNP
• Meghan E. Malerk, PA-C
• Wallace Mallery

• Registered Nurse in Troy, NY
• Providers in Troy, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.