Rachel Maxim, LM, IBCLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

471 Issued in CA

Practice address

1198 Melody LN Ste 103
Roseville, CA 95678-5100

Phone

(916) 240-1265

NPI assigned

Mar 2, 2012

Last updated

Dec 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1194099556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 MELODY LN STE 103",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 MELODY LN STE 103",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785100",
            "telephone_number": "916-240-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIM",
        "first_name": "RACHEL",
        "credential": "LM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-132871",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Xu Mauricio, MD
• Maverly One LLC (1Heart Caregiver Services)
• Annell Mavrantonis-Kruithof, M.D.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxview, Inc (Roseville Diagnostic Imaging)
• Dave Maxwell
• Jeffery Maxwell, PT
• Olga Maxwell, CRNA
• Stephen D Maxwell, M.D.

• Midwife in Roseville, CA
• Providers in Roseville, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.