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KELLY L MADIA ARNP NPI 1336503457


NPI Information

NPI: 1336503457
Provider Name: KELLY L MADIA, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: WASHINGTON REGIONAL MEDICAL SYSTEM

PECOS Registration: Yes

Address:
1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195
Phone: (206) 520-5000
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Kelly L Madia, ARNP is a gerontology nurse practitioner in Seattle, WA with 8 years of experience. Kelly L Madia, ARNP NPI is 1336503457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1959 NE PACIFIC ST
SEATTLE, WA
ZIP 98195-007
Phone: (206) 520-5000

The NPI 1336503457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2016 and was last updated on 2/8/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerAP60910189WASHINGTONNo
2363LA2100XNurse PractitionerAcute CareAP60910189WASHINGTONNo
3363LG0600XNurse PractitionerGerontologyAP60910189WASHINGTONYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.