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NPI 1629430871 · live from the CMS NPI Registry

Taylor Rhea House

Pediatrics, Pediatric Nephrology in Madison, WI. National Provider Identifier 1629430871, active.

NPI record

NPI1629430871 Type 1 · individual
StatusActive
Primary specialtyPediatrics, Pediatric Nephrology 2080P0210X
Practice location1675 Highland Ave, Madison, WI 53792
Practice phone608-263-6420
Mailing address7974 Uw Health Ct, Middleton, WI 53562
EnumeratedMarch 27, 2016
Last updatedAugust 18, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Hospice and Palliative Medicine207RH0002X77278 (WI)
Pediatrics208000000XMDRE.ML.60657224 (WA)
Pediatrics, Pediatric Nephrology primary2080P0210X77278-20 (WI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.