Haneelia Jean Max

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

322 Hwy 160
Suite #13
Tuba City, AZ 86045-2489

Phone

(928) 283-5206

Fax

(928) 283-5733

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1275706939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2489",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860452489",
            "telephone_number": "928-283-5206",
            "fax_number": "928-283-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 HWY 160",
            "address_2": "SUITE #13",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860452489",
            "telephone_number": "928-283-5206",
            "fax_number": "928-283-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "HANEELIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119596",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodrigo Martinez-Eskevasy, RDCS
• Darlene Mary Martinez, RN
• Jeffrey Todd Mason, MD
• Daphne A. Matlock, RN
• Linda Marie Matthews, RN
• Sophie Maxwell, RN
• Dyne Michael McAdam, RN
• Darlene Rebecca McAuliffe, RN
• Dusty Ray McCabe, C.N.A.
• Patricia M McCullough, OD

• Technician/Technologist in Tuba City, AZ
• Providers in Tuba City, AZ by specialty
• Technician/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.