Reanna Maxwell, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11003881 Issued in FL

Practice address

2024 Edgewood Dr S
Lakeland, FL 33803-3637

Phone

(863) 232-4323

Fax

(863) 337-5728

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCFABD/Endpoint/HCFABD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capernaum Medical Center for Kids PLLC

  • Clinic/Center
  • Lakeland, FL
  • NPI 1417422015
  NPD (past)
• Capernaum Medical Center for Kids PLLC

  • Clinical Neurophysiology Physician
  • Lakeland, FL
  • NPI 1881146413
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1013554138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 EDGEWOOD DR S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033637",
            "telephone_number": "863-232-4323",
            "fax_number": "863-337-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 EDGEWOOD DR S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033637",
            "telephone_number": "863-232-4323",
            "fax_number": "863-337-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 S Lakeland Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132599",
            "country_code": "US",
            "telephone_number": "863-232-4323",
            "fax_number": "863-337-5728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Westshore Plz",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091811",
            "country_code": "US",
            "telephone_number": "863-232-4323",
            "fax_number": "863-337-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "REANNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adora Elena Mauborgne, MD
• Desann Marie Maul, DPT
• Maulorico McFadden Holding Co LLC
• Maxim Healthcare Services, Inc
• Jennifer Maxius
• May Forest Haven LLC
• Katie Zayas May, AU.D.
• Richard L Maynard, OTR/L
• Amauris Matias Mayo
• Avonna Mayo, LPN

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.