Active NPI
Morady Van, RRT
- Registered Respiratory Therapist
- Madison, WI
National Provider Identifier
1962183863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 5362
- Practice address
- 8202 Excelsior Dr
Madison, WI 53717-1906 - Phone
- (608) 257-9700
- NPI assigned
- Jul 25, 2023
- 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 Respiratory Therapist | 227900000X | 5362 | WI | Primary |
Addresses
Primary practice location
8202 Excelsior Dr
Madison, WI 53717-1906
Mailing address
3005 Triverton Pike Dr Apt 102
Fitchburg, WI 53711-7501
Phone (608) 807-6943
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 |
|---|---|---|---|
| 5362 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1962183863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 TRIVERTON PIKE DR APT 102",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117501",
"telephone_number": "608-807-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 EXCELSIOR DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537171906",
"telephone_number": "608-257-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "MORADY",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "WI",
"license": "5362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.