Individual provider Active NPI

Janus Maybee, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseburg, OR
National Provider Identifier
1255327151
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200850154NP Issued in OR
Practice address
1404 SE Mill St
Roseburg, OR 97470-4008
Phone
(503) 704-1100
Fax
(541) 492-1339
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 096007344N1 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200850154NP OR Primary

Addresses

Primary practice location

1404 SE Mill St
Roseburg, OR 97470-4008

Mailing address

1404 SE Mill St
Roseburg, OR 97470-4008
Phone (503) 704-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20140811000088 OR Order and Referring Only - Nurse Practitioner 6204053572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
096007344N1ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawks Mountain Enterprises LLC Past Accepting new patients
My Other Me Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1255327151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SE MILL ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704008",
            "telephone_number": "503-704-1100",
            "fax_number": "541-492-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SE MILL ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704008",
            "telephone_number": "503-704-1100",
            "fax_number": "541-492-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBEE",
        "first_name": "JANUS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "096007344N1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200850154NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.