MADONNA KATHRYN MCDERMOTT CNP
NPI 1184740664
Nurse Practitioner - Adult Health in Saint Paul, MN

Active since March 22, 2007
2115 SUMMIT AVE, MAIL BOX 5056, SAINT PAUL, MN 55105(651) 962-6750 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madonna Kathryn Mcdermott Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADONNA KATHRYN MCDERMOTT CNP (NPI 1184740664) is an individual adult health provider in Saint Paul, Minnesota, licensed in Minnesota (R-122604-5) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1184740664
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMADONNA KATHRYN MCDERMOTTCredential: CNP
Location Address2115 SUMMIT AVE, MAIL BOX 5056Saint Paul, MN 55105-1048
Mailing Address1567 Dunlap St NSaint Paul, MN 55108-2215 · (651) 487-3707
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1184740664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MN · R-122604-5
2115 SUMMIT AVE, Saint Paul, MN 55105

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2115 SUMMIT AVE
SAINT PAUL, MN 55105
Nurse Practitioner (Family)
2115 SUMMIT AVE, STUDENT HEALTH SERVICES # 5056
ST PAUL, MN 55105
Nurse Practitioner (Adult Health)
2115 SUMMIT AVE, #5056
SAINT PAUL, MN 55105
Psychologist (Clinical)
2115 SUMMIT AVE, MAIL 4040
SAINT PAUL, MN 55105
Specialist/Technologist (Athletic Trainer)
2115 SUMMIT AVE, ARC 117E
SAINT PAUL, MN 55105
Social Worker (Clinical)
2115 SUMMIT AVE
SAINT PAUL, MN 55105
Specialist/Technologist (Athletic Trainer)
2115 SUMMIT AVE, STE 5003
SAINT PAUL, MN 55105
Physical Medicine & Rehabilitation (Sports Medicine)
2115 SUMMIT AVE
SAINT PAUL, MN 55105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madonna Mcdermott's NPI number?

The NPI number for Madonna Mcdermott is 1184740664. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Madonna Mcdermott located?

Madonna Mcdermott practices at 2115 Summit Ave Mail Box 5056, Saint Paul, MN 55105. The listed phone number is (651) 962-6750.

What is Madonna Mcdermott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Madonna Mcdermott was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.