Active NPI
Jamila Mercedes Madden, RD
- Registered Dietitian
- Northridge, CA
National Provider Identifier
1952967721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86034598
- Practice address
- 8510 Balboa Blvd Ste 150
Northridge, CA 91325-5810 - Phone
- (818) 654-3400
- Fax
- (818) 654-3417
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86034598 | Primary |
Addresses
Primary practice location
8510 Balboa Blvd Ste 150
Northridge, CA 91325-5810
Mailing address
8510 Balboa Blvd Ste 150
Northridge, CA 91325-5810
Phone (818) 654-3400
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)
- Enrolled
Interoperability endpoints
- jamila.madden.p1@direct.lakeside.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1952967721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD STE 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255810",
"telephone_number": "818-654-3400",
"fax_number": "818-654-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD STE 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255810",
"telephone_number": "818-654-3400",
"fax_number": "818-654-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "JAMILA",
"middle_name": "MERCEDES",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86034598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.