DR. LORI KENNEDY MADDEN PHD RN ACNP NPI 1720007479

NPI Information

NPI: 1720007479
Provider Name: DR. LORI KENNEDY MADDEN, PHD, RN, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
2315 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 703-3021
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DR. Lori Kennedy Madden, PHD, RN, ACNP is an acute care nurse practitioner in Sacramento, CA. DR. Lori Kennedy Madden, PHD, RN, ACNP NPI is 1720007479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2315 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-201
Phone: (916) 703-3021

The enumeration date for this NPI number is 7/19/2006 and was last updated on 9/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		482526	CALIFORNIA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	0120148	CALIFORNIA	No
3	163WN0800X	Registered Nurse	Neuroscience	05-094-00	CALIFORNIA	No
4	363L00000X	Nurse Practitioner		10233	CALIFORNIA	No
5	364S00000X	Clinical Nurse Specialist		474	CALIFORNIA	No
6	363LA2100X	Nurse Practitioner	Acute Care	325935-28	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3623313	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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