Maryann Wells, RN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

697325 Issued in CA

Practice address

12471 Birch St
Yucaipa, CA 92399-4217

Phone

(909) 797-0230

NPI assigned

Feb 15, 2011

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": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1114224847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12471 BIRCH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994217",
            "telephone_number": "909-797-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12471 BIRCH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994217",
            "telephone_number": "909-797-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "CA",
            "license": "697325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Ware, PA
• James Andrew Washington III, M.D.
• Wayne L Dorothy DPM Inc
• John Webster, LMT
• Sanjeewa Kolitha Weerasinghe, LVN
• Western Dental Services, Inc.
• Dan Arthur Wethey, DC
• Tyler Whitcomb, DPT
• Sarah Whitley, M.S., CCC-SLP
• Carissa Yvonne Whitten

• Neonatal Intensive Care Registered Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Neonatal Intensive Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.