Emeline Michelle Maddux

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AC006071 Issued in MD

Practice address

4701 Sangamore Rd
Bethesda, MD 20816-2508

Phone

(202) 684-7167

NPI assigned

Oct 4, 2023

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

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

George Washington University School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.maddux.1@8769.direct.athenahealth.com

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

• Kelly Goodman NP & Associates PC

  • Primary Care Nurse Practitioner
  • Bethesda, MD
  • NPI 1740503689

  DC, Single Specialty

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1922888270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARTRIDGE LN NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165338",
            "telephone_number": "202-297-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162508",
            "telephone_number": "202-684-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "EMELINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC006071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Toyomi Izuno Macri, M.D.
• Ryan Kelly Macvicar, MD
• Stephen F. Madaras, DO
• Catherine Clare Madden
• John Specht Maddox, MD
• Kristan Elizabeth Madison, M.D.
• Alicia Madore, CNS
• Dawn Graham Madsen, M.S., CCC-SLP
• Maia Lynn Magder, M.S. CCC-SLP
• Jared Magee, DO,MPH

• Family Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.