Active NPI
Madison Surrett
- Psychologist
- Louisville, KY
National Provider Identifier
1922715036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 278627
- Practice address
- 2321 Lime Kiln LN Ste B
Louisville, KY 40222-3410 - Phone
- (502) 771-1183
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 278627 | KY | Primary |
Addresses
Primary practice location
2321 Lime Kiln LN Ste B
Louisville, KY 40222-3410
Mailing address
13764 Highway 44 E
Taylorsville, KY 40071-7933
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 |
|---|---|---|---|
| 278627 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1922715036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13764 HIGHWAY 44 E",
"city": "TAYLORSVILLE",
"state": "KY",
"postal_code": "400717933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 LIME KILN LN STE B",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223410",
"telephone_number": "502-771-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRETT",
"first_name": "MADISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "278627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- Surgical Associates of Louisville, PSC
- Surgical Care Associates PSC
- Krithika Suri, MD
- Sarabjeet Singh Suri, M.D
- Surmount, Inc. (Always Best Care Senior Services - Louisville Downtown & East End)
- Surya Dental PSC (Parkway Family Dental)
- Surya Mental Wellness
- Susan B Tate MD PA
- Susan B Tate MD PSC
- Susan E. Janocik M.D., PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.