Madison O'Grady Macey, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86167950 Issued in WA

Practice address

7906 148TH Street CT E
Puyallup, WA 98375-8431

Phone

(253) 720-3661

NPI assigned

Apr 5, 2021

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

Other names 1

• Madison O'Grady Benson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1902485261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 148TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983758431",
            "telephone_number": "253-720-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 148TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983758431",
            "telephone_number": "253-720-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEY",
        "first_name": "MADISON",
        "middle_name": "O'GRADY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86167950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "BENSON",
            "middle_name": "O'GRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Lyter, DPT
• M Mahajan DDS PLLC
• M Virk & H Skountrianos
• M Virk DMD Ms & E Polsky DDS, P.L.L.C
• Jillayne Macdonald
• Shelly Macharia, CBT
• Jordan Machen, PA-C
• Staci M Mack, PHARMD
• Lynne Marie Mackey-Moseley, OTR/L
• Sheryl Ann Mackie, RN00164046

• Registered Dietitian in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.