Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thanyathorn Madrid

Individual provider Family Nurse Practitioner · NPI 1346950003

Thanyathorn Madrid is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2022, 4 years ago. Offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3645 S Rome St Ste 216
Gilbert, AZ 85297-7338
Phone: (480) 478-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 282529 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 282529 (AZ)

Record details

NPI number1346950003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2022
Last updated in NPPESMarch 27, 2023
Certification dateMarch 26, 2023
Mailing address10115 E Bell Rd # 107-234, Scottsdale, AZ 85260-2189

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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