Active NPI
Kira Maximovich, NP
- Nurse Practitioner
- Redwood City, CA
National Provider Identifier
1205010253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP17452
- Practice address
- 500 Arguello Street
100
Redwood City, CA 94063 - Phone
- (650) 851-4900
- Fax
- (650) 995-1202
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP17452 | CA | Primary |
Addresses
Primary practice location
500 Arguello Street
100
Redwood City, CA 94063
Mailing address
500 Arguello Street
100
Redwood City, CA 94063
Phone (650) 851-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP17452 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1205010253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ARGUELLO STREET",
"address_2": "100",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94063",
"telephone_number": "650-851-4900",
"fax_number": "650-995-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ARGUELLO STREET",
"address_2": "100",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94063",
"telephone_number": "650-851-4900",
"fax_number": "650-995-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXIMOVICH",
"first_name": "KIRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP17452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.