Active NPI
Kimberly D Madigan, CCP
- Specialist
- San Antonio, TX
National Provider Identifier
1871636266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 4203 Gardendale St
Ste 102C
San Antonio, TX 78229-3174 - Phone
- (210) 614-8101
- Fax
- (210) 614-8102
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4203 Gardendale St
Ste 102C
San Antonio, TX 78229-3174
Mailing address
15906 Tall HTS
San Antonio, TX 78255-3304
Phone (210) 695-4390
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871636266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15906 TALL HTS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782553304",
"telephone_number": "210-695-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 GARDENDALE ST",
"address_2": "STE 102C",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293174",
"telephone_number": "210-614-8101",
"fax_number": "210-614-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADIGAN",
"first_name": "KIMBERLY",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "CCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Maria Erika Madera, REGISTERED NURSE
- Guillermo Madero, MD
- Madh Holdings LLC (Texas Spine and Joint Surgical Center)
- Vinu Madhusudanannair Kunnuparampil, M.D.
- Muorod Ahmed Madi, RPH
- Madison Oak Management, Inc. (Stone Oak Care Center)
- Alexis Madison
- Erin Brooke Madison, FNP
- Jane Anne Madison, PH.D.
- Frank Lloyd Madla III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.