ANGELIQUE MADISON (NPI# 1417358995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417358995 |
| Entity Type | Individual |
| Full Name | ANGELIQUE MADISON |
| Credential | FNP |
| Practice Address |
400 Medical Park Dr Watervliet MI 49098-9225 |
| Mailing Address |
6701 Paw Paw Ave Coloma MI 49038-9519 |
| Practice Telephone | 2694633600 |
| Mailing Telephone | 2694633000 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704253993 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1417358995 | 05 |
| Street Address |
400 MEDICAL PARK DR |
| City | WATERVLIET |
| State | MI |
| Zip Code | 49098-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643644 | Denise A Frazee | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2019-01-24 |
| 1780153403 | Lisa Sutton | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1871063552 | Steven Vandenbosch | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-26 |
| 1861961542 | Rodney Russell | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-25 |
| 1649749490 | Megan Mcquillan | Speech-Language Pathologist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-21 |
| 1366911455 | Cynthia Marie Forrester | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1518436500 | Renee Marie Hardman | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-19 |
| 1902375082 | Eric Triezenberg | Occupational Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-18 |
| 1982173217 | Michelle Bendewald | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| 1386113744 | Karol Paul | Physical Therapist | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154586451 | Alfonso Generalao Llanto | Family Medicine | 3973 M140, Watervliet, MI 49098 | 2008-07-25 |
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1609910744 | Nilda D Orzame Md Pllc | Internal Medicine | 3881 North M-140 Hwy, Watervliet, MI 49098 | 2007-02-19 |
| 1750484556 | Alfonso G Llanto Md PC | General Practice | 3973 M 140, Watervliet, MI 49098 | 2006-09-07 |
| 1285891473 | Community Hospital | Surgery | 450 Medical Park Dr Ste 200, Watervliet, MI 49098-8531 | 2008-05-16 |
| 1962480228 | Lope Alvaran Vitangcol Jr. | Surgery | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2006-01-06 |
| 1265733356 | Amelia Fajardo Family Medical Clinic PC | General Practice | 450 Medical Park Dr, Suite 100, Watervliet, MI 49098-8531 | 2010-11-05 |
| 1306033329 | Community Hospital | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2007-10-03 |
| 1760418198 | Abbas Syed | Surgery | 450 Medical Park Dr, Suite 200, Watervliet, MI 49098-8531 | 2006-06-25 |
| 1790733293 | Donald F. Brooks | Specialist | 450 Medical Park Dr, Suite # 400, Watervliet, MI 49098-8531 | 2006-05-05 |
| Find all providers in zip 49098 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285086934 | Natalia Borja | Nurse Practitioner | 1 Bell Tower Dr, Latham Primary Care Associates, Watervliet, NY 12189-2333 | 2016-07-06 |
| 1659481000 | Raquel V De Leon | Nurse Practitioner | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 49098 |
Please comment or provide details below to improve the information on ANGELIQUE MADISON.
| 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.