Tanya Kapp Maxwell, NP
Individual provider Active NPI Nurse Practitioner · Statesville, NC
NPI 1023045135 · NPPES record last updated Jan 25, 2008
Key facts
- NPI
- 1023045135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 900319 (NC)
- Practice address
- 1818 Davie Ave
Statesville, NC 28677-3524 - Phone
- (704) 873-1036
- Fax
- (704) 873-1058
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 42
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Healthcare PA
Practice addresses (Care Compare)
1818 Davie Ave
Statesville, NC 28677-3524
Phone (704) 873-1036
PO Box
1845 650 Signal Hill Drive Ext
Statesville, NC 28687-1845
Hospital & facility affiliations
- Iredell Home Health
- Gentiva Health Services
- Iredell Memorial Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100108000517 | NC | Practitioner - Nurse Practitioner | 7113068412 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Current |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Past |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Past |
Accepting new patients | |
| Piedmont Healthcare PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, PA | Past |
Accepting new patients | |
| Piedmont Healthcare, P.a. | Past |
Accepting new patients |
Locations
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
1818 Davie Ave
Statesville, NC 28677
Phone (704) 873-1036
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 900319 | NC | Yes |
Addresses
Primary practice location
1818 Davie Ave
Statesville, NC 28677-3524
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
Other providers in Statesville, NC
- Lisa Key Mathis
- Kimberly Ruth Mattingly-Cloer
- Whitney Lea Mattox
- Dawn Mauney
- Wayne Mavellia II
- Madeline May
- Kimberlee White Mayberry
- Shaykila Mayes
- Sandra Lourdes Mayta
- Joseph C. Mazzola
All providers in Statesville, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.