MRS. JUNETTA A MAYNARD (NPI# 1205071743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205071743 |
| Entity Type | Individual |
| Full Name | MRS. JUNETTA A MAYNARD |
| Credential | FNP-BC |
| Practice Address |
51090 Portland Rd Racine OH 45771-9706 |
| Practice Telephone | 7408435368 |
| Mailing Telephone | 7408435368 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2009-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-10373 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
51731 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
51090 PORTLAND RD |
| City | RACINE |
| State | OH |
| Zip Code | 45771-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301175 | Emma Lee Roberts | Speech-Language Pathologist | 31398 Bashan Rd, Racine, OH 45771 | 2017-04-21 |
| 1639303647 | Mary E Smith | Licensed Practical Nurse | 30975 Salser Rd, Racine, OH 45771 | 2009-05-05 |
| 1508873431 | Margie J Lawson | Dentist | 106 Tyree Blvd, Racine, OH 45771 | 2006-08-02 |
| 1982632022 | Douglas D. Hunter | Family Medicine | 207 5th Street, Racine, OH 45771 | 2006-06-29 |
| 1518432954 | Nicole Rae Humphrey | Nurse Practitioner | 207 5th St, Racine, OH 45771 | 2018-10-12 |
| 1689845505 | Douglas D. Hunter, M.d.llc | Specialist | 207 Fifth Street, Racine, OH 45771 | 2008-03-19 |
| 1740254267 | Melanie A. Weese | Optometrist | 109 N 3rd St, Racine, OH 45771-0880 | 2006-02-13 |
| 1952841355 | Morgan Raeann Gordon | Family Medicine | 207 5th St, Racine, OH 45771-5012 | 2017-03-03 |
| 1265766695 | Eddena Jo Smith | Registered Nurse | 818 Johns Rd, Racine, OH 45771-8000 | 2009-10-02 |
| 1346638343 | Amy Beth Diddle | Dental Hygienist | 47445 Morning Star Rd, Racine, OH 45771-8808 | 2014-12-30 |
| Find all providers in zip 45771 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609412071 | Emily Patzer | Nurse Practitioner | 2505 Iris Ct, Racine, WI 53402-1437 | 2019-11-20 |
| 1134681075 | Margaret Gail Pratt | Nurse Practitioner | 533 River Rd, Racine, WV 25165-9533 | 2019-04-01 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1447687553 | Tara Danielle Nielsen | Nurse Practitioner | 2542 Wynfield Drive, Racine, WI 53406-1897 | 2013-10-03 |
| 1447863378 | Megan K Painter | Nurse Practitioner | 2333 Northwestern Ave, Racine, WI 53404-2520 | 2020-08-29 |
| 1003426354 | Erin Elizabeth Scheffer | Nurse Practitioner | 3 Birchwood Ct, Racine, WI 53402-2601 | 2020-08-02 |
| 1518432954 | Nicole Rae Humphrey | Nurse Practitioner | 207 5th St, Racine, OH 45771 | 2018-10-12 |
| 1750872438 | Maria Elena Godines | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403 | 2018-05-29 |
| 1679091185 | Laura Ann Kresch | Nurse Practitioner | 4700 21st St, Racine, WI 53406-5031 | 2017-09-05 |
| 1386020410 | Elizabeth Louise Retherford | Nurse Practitioner | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2015-07-30 |
| Find all providers in RACINE | ||||
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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.