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MANDISA MADDOX CNA
NPI 1508464157
Nurse's Aide in New Smyrna Beach, FL

Active since October 15, 2020
209 HICKORY ST, NEW SMYRNA BEACH, FL 32168(386) 576-4198 Get Directions Write a Review

NPPES record last updated: December 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2020, Oct 15, 2020 (2 updates tracked since 2020).

About Mandisa Maddox Cna NPPES

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

MANDISA MADDOX CNA (NPI 1508464157) is an individual nurse's aide in New Smyrna Beach, Florida, licensed in Florida (120728) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1508464157
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMANDISA MADDOXCredential: CNA
Location Address209 HICKORY STNew Smyrna Beach, FL 32168-8189
Mailing Address209 Hickory StNew Smyrna Beach, FL 32168-8189 · (386) 576-4198
Phone(386) 576-4198
Sole ProprietorYes
Enumeration DateOctober 15, 2020
Last NPPES UpdateDecember 19, 20202 updates tracked since enumeration
NPPES CertifiedDecember 19, 2020
✔ NPI 1508464157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in FL · 120728
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
209 HICKORY ST, New Smyrna Beach, FL 32168
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Mandisa Maddox's NPI number?

The NPI number for Mandisa Maddox is 1508464157. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Mandisa Maddox located?

Mandisa Maddox practices at 209 Hickory St, New Smyrna Beach, FL 32168. The listed phone number is (386) 576-4198.

What is Mandisa Maddox's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Mandisa Maddox was last updated on December 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.