Maygan Grothaus, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R63035 Issued in NM

Practice address

1100 Texas St NE
Albuquerque, NM 87110-7814

Phone

(505) 265-7741

NPI assigned

Aug 21, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1073125852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25704",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871250704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TEXAS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107814",
            "telephone_number": "505-265-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHAUS",
        "first_name": "MAYGAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R63035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Alline Gross, MA
• Thomas Gross, MD
• Mindy Lynn Grossberg, MSW
• Laura Grossman, SW
• Joshua Grothaus, LPCC
• Robert M Grothe, EMTP
• Groups Recover Together - New Mexico LLC
• Ashna Grover, MBBS
• Marsha Grover, SLP
• Samantha Aspen Groves, LCSW

• School Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.