Individual provider Active NPI

John Christopher Maynard, APRN FNP-BC

  • Family Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1275157539
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014729 Issued in KY
Practice address
5000 Ky Route 321 Ste 3141
Prestonsburg, KY 41653-9113
Phone
(606) 886-8511
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 56919 KY
Family Nurse Practitioner 363LF0000X 3014729 KY Primary

Addresses

Primary practice location

5000 Ky Route 321 Ste 3141
Prestonsburg, KY 41653-9113

Mailing address

5000 Ky Route 321 Ste 3141
Prestonsburg, KY 41653-9113
Phone (606) 886-8511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmaynard04@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20201027002340 KY Practitioner - Nurse Practitioner 7810307121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
56919KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Tug Valley Health Services, Inc. Family CurrentSince Sep 25, 2020 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Family Medical Center Past Accepting new patients

Locations

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

5000 Ky Route 321
Ste 3141
Prestonsburg, KY 41653
Phone (606) 886-7517

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECJJCD/Endpoint/ECJJCD

Organizations & group practices 3

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1275157539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321 STE 3141",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-886-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321 STE 3141",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-886-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "56919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmaynard04@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "5000 Ky Route 321 Ste 3141",
            "city": "Prestonsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416539113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.