Healthcare Provider Details

I. General information

NPI: 1679408256
Provider Name (Legal Business Name): MADELEINE FIONA RICKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 WISCONSIN AVE NW STE 300
WASHINGTON DC
20016-4606
US

IV. Provider business mailing address

400 KENTLANDS BLVD APT 103
GAITHERSBURG MD
20878-5774
US

V. Phone/Fax

Practice location:
  • Phone: 202-536-4414
  • Fax:
Mailing address:
  • Phone: 301-448-0281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: