DR. REGINALD LEVON MADDEN (NPI# 1265464903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265464903 |
| Entity Type | Individual |
| Full Name | DR. REGINALD LEVON MADDEN |
| Credential | DNP |
| Practice Address |
2800 Blue Ridge Rd Ste 550 Raleigh NC 27607-6476 |
| Practice Telephone | 9197875380 |
| Practice Fax Number | 9197873415 |
| Mailing Telephone | 9197875380 |
| Mailing Fax Number | 9197873415 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 159088 | NC | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5001551 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2800 BLUE RIDGE RD STE 550 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1801428974 | Patricia Lynn Mcgrail | Nurse Practitioner | 2605 Blue Ridge Rd Ste 240, Raleigh, NC 27607-6475 | 2020-02-06 |
| 1467931360 | Dirk M Collevecchio | Nurse Practitioner | 10 Sunnybrook Rd # Clinicb, Raleigh, NC 27610-1808 | 2018-08-10 |
| 1023518339 | Henry Matthew Vanpala | Nurse Practitioner | 1631 Midtown Pl Ste 101, Raleigh, NC 27609-1300 | 2018-02-14 |
| 1740723063 | Kelli Odell Armwood | Nurse Practitioner | 4040 Barrett Dr, Raleigh, NC 27609-6640 | 2016-11-18 |
| 1053868356 | Yun-hua Chiang | Nurse Practitioner | 3404 Wake Forest Rd Fl 1, Raleigh, NC 27609-7340 | 2016-09-02 |
| 1407208788 | Jessica Allyn | Nurse Practitioner | 4822 Six Forks Rd Ste 104, Raleigh, NC 27609-5269 | 2016-07-11 |
| 1023444338 | Jessica Kious-fry | Nurse Practitioner | 11200 Governor Manly Way Ste 303a, Raleigh, NC 27614-7375 | 2013-09-18 |
| 1225313182 | Sandra Britt | Nurse Practitioner | 6008 Creedmoor Rd, Raleigh, NC 27612-2209 | 2011-10-11 |
| 1366760159 | Amy Pike | Nurse Practitioner | 7780 Brier Creek Pkwy Ste 230, Raleigh, NC 27617-7850 | 2010-05-04 |
| Find all providers in RALEIGH | ||||
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| 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.