MS. JODY LYNN MADDEN


Address: 875 Greentree Rd Ste 200, Pittsburgh, PA 15220-3508
Phone: 4125082975

MS. JODY LYNN MADDEN (NPI# 1023421344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023421344
Entity Type Individual
Full Name MS. JODY LYNN MADDEN
Other Name MS. JODY LYNN MADDEN
Credential CRNP
Practice Address 875 Greentree Rd Ste 200
Pittsburgh
PA 15220-3508
Mailing Address 521 Westland Dr
Greensburg
PA 15601-6048
Practice Telephone 4125082975
Mailing Telephone 7246409171
Enumeration Date 2014-06-04
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN543119 PA Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP021525 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PACE ORGANIZATION 1023421344 01

Office Location

Street Address 875 GREENTREE RD STE 200
City PITTSBURGH
State PA
Zip Code 15220-3508

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1003236985 Linda Whitby Sampson Nurse Practitioner 206 Sweet Gum Road, Pittsburgh, PA 15238 2014-04-18
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1841338167 Joyce F Hawk Nurse Practitioner 132 Berwyn Rd, Pittsburgh, PA 15237-2804 2007-02-01
1821188707 Diane Berkowitz Nurse Practitioner 200 Lothrop St Fl 9, Pittsburgh, PA 15213-2536 2006-10-13
1902900186 Debra Lee Hauser Nurse Practitioner University Drive C, Va Pittsburgh Healthcare System, Pittsburgh, PA 15240-1001 2006-09-11
1619085313 Jacqueline Ruple Nurse Practitioner 6823 Meade St, Pittsburgh, PA 15208-2305 2006-08-25
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Competitor

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City PITTSBURGH
Zip Code 15220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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