Kate Laurin Maxino, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95227994 Issued in CA

Practice address

4800 Magnolia Ave
Riverside, CA 92506-1201

Phone

(951) 222-8151

NPI assigned

Jun 14, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Riverside City College

  • Student Health Clinic/Center
  • Riverside, CA
  • NPI 1780008839
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1275217671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061201",
            "telephone_number": "951-222-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061201",
            "telephone_number": "951-222-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXINO",
        "first_name": "KATE",
        "middle_name": "LAURIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95227994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soe Tin Maunglay, MD
• Alyssa Maurer, MS, ATC
• Timothy Maurer
• Juan Marciano Mauricio, PT
• Mahmoud Mawardi
• Megan Dora Maxwell Lutz, M.S., L.C.G.C.
• Asia Maxwell
• Gregory Colin Maxwell
• Valerie May-Brown
• Katie May

• Registered Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.