Active NPI
Maizka Nieves
- Home Health Aide
- Hagerstown, MD
National Provider Identifier
1295498517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1401 Haven Rd Apt A21
Hagerstown, MD 21742-3102 - Phone
- (787) 459-1099
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1401 Haven Rd Apt A21
Hagerstown, MD 21742-3102
Mailing address
1401 Haven Rd Apt A21
Hagerstown, MD 21742-3102
Phone (787) 459-1099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6J36PU6XH30 | Medicaid | MD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1295498517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HAVEN RD APT A21",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217423102",
"telephone_number": "787-459-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HAVEN RD APT A21",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217423102",
"telephone_number": "787-459-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "MAIZKA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6J36PU6XH30",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.