TANYA KAPP MAXWELL (NPI# 1023045135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023045135 |
| Entity Type | Individual |
| Full Name | TANYA KAPP MAXWELL |
| Credential | NP |
| Practice Address |
1818 Davie Ave Statesville NC 28677-3524 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7048731036 |
| Practice Fax Number | 7048731058 |
| Mailing Telephone | 7048734277 |
| Mailing Fax Number | 7048734511 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 900319 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768036 | Tanya Michelle Maxwell | Licensed Practical Nurse | 1817 Brownstone Blvd, Apt. 914, Toledo, OH 43614-6305 | 2008-04-28 |
| 1336101310 | Tanya Marie Maxwell | Specialist/Technologist | 2045 Peachtree Rd Ne, 700, Atlanta, GA 30309-1414 | 2006-04-05 |
| Street Address |
1818 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050184 | James S Foushee | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-08-19 |
| 1770056327 | Piedmont Healthcare, Pa | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2019-01-07 |
| 1871071878 | Ishmael Robert Hayfron | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677 | 2018-08-01 |
| 1386825131 | Tania Mimi Acevedo | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677 | 2007-11-21 |
| 1891719530 | Teresa B Campbell | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677-3524 | 2006-07-26 |
| 1811988231 | Carla R Pence | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-11-03 |
| 1467445155 | Fred Marks | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217776 | Elizabeth Thompson | Nurse Practitioner | 276 Old Mocksville Rd Ste 105, Statesville, NC 28625-1950 | 2020-05-26 |
| 1437708583 | Ashley Nicole Hollifield | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2019-09-10 |
| 1366096539 | Rachel Elizabeth Hester | Nurse Practitioner | 555 Kitchings Dr Ste D, Statesville, NC 28677-3576 | 2019-07-26 |
| 1538628110 | Kelly Taylor Eastergard | Nurse Practitioner | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-13 |
| 1538632369 | Jessica Henderson Craft | Nurse Practitioner | 2347 Simonton Rd, Statesville, NC 28625-8246 | 2019-01-03 |
| 1871071878 | Ishmael Robert Hayfron | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677 | 2018-08-01 |
| 1487153912 | Michelle Deniz Nur | Nurse Practitioner | 124 Sunset Hill Rd, Statesville, NC 28625-2729 | 2018-02-11 |
| 1427571017 | Stephanie J Lane | Nurse Practitioner | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-07-25 |
| 1366702649 | Brandy Janae Fleurismond | Nurse Practitioner | 1022 Shelton Ave, Statesville, NC 28677 | 2012-05-21 |
| 1942452974 | Sharon Hollifield Bryan | Nurse Practitioner | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2008-10-22 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.