Tanya Kapp Maxwell, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

900319 Issued in NC

Practice address

1818 Davie Ave
Statesville, NC 28677-3524

Phone

(704) 873-1036

Fax

(704) 873-1058

NPI assigned

Jun 26, 2006

Last updated

Jan 25, 2008By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iredell Home Health Home health agency, Statesville, NC, CCN 347059
• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
• Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Piedmont Healthcare, P.a.

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1912999897
  Medicare reassignment Care Compare group NPD
• Piedmont Healthcare, PA

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1639041320
  NPD
• Piedmont Healthcare PA

  • Gastroenterology Physician
  • Statesville, NC
  • NPI 1326503806
  NPD (past)
• Piedmont Healthcare PA

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
  • NPI 1699951988
  NPD (past)
• Piedmont Healthcare, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1205014024
  NPD (past)
• Piedmont Healthcare, P.a.

  • Obstetrics & Gynecology Physician
  • Statesville, NC
  • NPI 1538653449
  NPD (past)
• Piedmont Healthcare, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1740468552
  NPD (past)
• Piedmont Healthcare, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1750567467
  NPD (past)
• Piedmont Healthcare, PA

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1003389396
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Statesville, NC
  • NPI 1043780935
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1194298489
  NPD (past)
• Piedmont Healthcare, PA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1205306180
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation
• Iredell Memorial Hospital Incorporated

  dba Iredell Home Health

  • Home Health Agency
  • Statesville, NC
  • NPI 1215986260
  Care Compare affiliation
• Iredell Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Statesville, NC
  • NPI 1417944224
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1023045135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277",
            "fax_number": "704-873-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773524",
            "telephone_number": "704-873-1036",
            "fax_number": "704-873-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "TANYA",
        "middle_name": "KAPP",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Key Mathis, NP
• Kimberly Ruth Mattingly-Cloer
• Whitney Lea Mattox, SLP-CCC
• Dawn Mauney
• Wayne Mavellia II, CRNA
• Madeline May
• Kimberlee White Mayberry, RN
• Shaykila Mayes, RMA
• Sandra Lourdes Mayta, LCMHC, NCC
• Joseph C. Mazzola, D.O.

• Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.