Lubabatu Inuwa Maimai

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013603 Issued in NC

Practice address

330 Jake Alexander Blvd W Ste 103
Salisbury, NC 28147-1385

Phone

(704) 519-2366

Fax

(844) 269-8197

NPI assigned

Sep 29, 2020

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lubabatu.maimai.1@12871.direct.athenahealth.com

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.

• Charlotte Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1528363868
  Medicare reassignment NPD
• Charlotte Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1053065201
  NPD
• Charlotte Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1073367249
  NPD
• Cabarrus Rowan Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Concord, NC
  • NPI 1396782710
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1124635586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 JAKE ALEXANDER BLVD W STE 103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471385",
            "telephone_number": "704-519-2366",
            "fax_number": "844-269-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JAKE ALEXANDER BLVD W STE 103",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471385",
            "telephone_number": "704-519-2366",
            "fax_number": "844-269-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIMAI",
        "first_name": "LUBABATU",
        "middle_name": "INUWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Brian Maggio, D.D.S
• Christopher John Magryta, M.D.
• Nicole Magryta, RD
• Diana Mah, O.D.
• Caitlyn Ann Mahoney, LCSWA
• Main Street Physical Therapy Inc
• Alexandra Elizabeth Malissen, PA-C
• Eric John Mallico, MD
• James A Mallinson Jr., MA
• Sean I Malone, M.D.

• Family Nurse Practitioner in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.