MADASYN EPP NPI 1558847004

NPI Information

NPI: 1558847004
Provider Name: MADASYN EPP
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1250 WALLACE BLVD
AMARILLO, TX
ZIP 79106
Phone: (806) 353-3596
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Madasyn Epp is a student in an organized health care education training program in Amarillo, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Madasyn Epp NPI is 1558847004. 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:

1250 WALLACE BLVD
AMARILLO, TX
ZIP 79106-741
Phone: (806) 353-3596
Fax: (806) 353-4927

The enumeration date for this NPI number is 7/18/2018 and was last updated on 8/29/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist		114698	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program		114698	TEXAS	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	114698	OTHER	TEXAS	TEXAS DEPARTMENT OF LICENSING AND REGULATION

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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