Individual provider Active NPI

Reshmi Lata Maiki, LVN

  • Licensed Vocational Nurse
  • Elk Grove, CA
National Provider Identifier
1285277152
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
276281 Issued in CA
Practice address
8321 Mallett Way
Elk Grove, CA 95757-1696
Phone
(916) 271-1871
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 276281 CA Primary

Addresses

Primary practice location

8321 Mallett Way
Elk Grove, CA 95757-1696

Mailing address

8321 Mallett Way
Elk Grove, CA 95757-1696
Phone (916) 271-1871

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RSHM_LATA@YAHOO.COM

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

State licenses

LicenseStateTypeSpecialty
276281CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1285277152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 MALLETT WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571696",
            "telephone_number": "916-271-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 MALLETT WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571696",
            "telephone_number": "916-271-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIKI",
        "first_name": "RESHMI",
        "middle_name": "LATA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "276281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RSHM_LATA@YAHOO.COM",
            "affiliation": "N",
            "address_1": "8321 Mallett Way",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957571696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.