Active NPI
Madison R McGuire
- Behavior Technician
- Wasilla, AK
National Provider Identifier
1871323204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24389263
- Practice address
- 3543 E Meridian Park Loop
Wasilla, AK 99654-7233 - Phone
- (907) 864-0099
- Fax
- (907) 864-0093
- NPI assigned
- Aug 1, 2024
- Last updated
- Dec 17, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24389263 | AK | Primary |
Addresses
Primary practice location
3543 E Meridian Park Loop
Wasilla, AK 99654-7233
Mailing address
189 E Nelson Ave # 183
Wasilla, AK 99654-6464
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24389263 | AK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1871323204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 E NELSON AVE # 183",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3543 E MERIDIAN PARK LOOP",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547233",
"telephone_number": "907-864-0099",
"fax_number": "907-864-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "MADISON",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-12-17",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AK",
"license": "24389263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.