Healthcare Provider Details

I. General information

NPI: 1376462531
Provider Name (Legal Business Name): MADISON RIPPEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 16TH AVE SW
CEDAR RAPIDS IA
52404-2328
US

IV. Provider business mailing address

811 D AVE STE 30
VINTON IA
52349-1338
US

V. Phone/Fax

Practice location:
  • Phone: 319-390-4611
  • Fax: 319-390-4381
Mailing address:
  • Phone: 319-472-2443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: