Individual provider Active NPI

Madelaine Lott, NP

  • Nurse Practitioner
  • Gardendale, AL
National Provider Identifier
1871935908
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-122739 Issued in AL
Practice address
210 Fieldstown Rd
Suite 124
Gardendale, AL 35071-2408
Phone
(815) 713-2600
NPI assigned
Jul 17, 2013
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-122739 AL Primary

Addresses

Primary practice location

210 Fieldstown Rd
Suite 124
Gardendale, AL 35071-2408

Mailing address

210 Fieldstown Rd
Suite 124
Gardendale, AL 35071-2408

Other names 1

  • Ms. Madelaine Marie Doss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000247 AL Practitioner - Nurse Practitioner 3274776448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Alabama LLCGroup PAC ID 9133362304, 4 clinicians

Practice addresses (Care Compare)

210 Fieldstown Rd
Suite 124
Gardendale, AL 35071-2418
Phone (205) 285-8252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Alabama LLC CurrentSince Sep 1, 2013 Accepting new patients

Locations

210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1871935908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD",
            "address_2": "SUITE 124",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD",
            "address_2": "SUITE 124",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712408",
            "telephone_number": "815-713-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "MADELAINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-122739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELAINE",
            "last_name": "DOSS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.