Mary R Maynor, RNC-LRN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

737276 Issued in TX

Practice address

709 Golfcrest Dr
Windcrest, TX 78239-2623

Phone

(210) 650-5510

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1316297153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 GOLFCREST DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782392623",
            "telephone_number": "210-650-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 GOLFCREST DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392623",
            "telephone_number": "210-650-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNOR",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "RNC-LRN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "737276",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "IBCLC # 11117120",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "TX",
            "license": "C-LRN #VSHA4A4004B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel James Martinez, LCDC INTERN
• Francisco Javier Martinez II, O.D.
• Lauren Cary Martinez, OD
• Rosalba Martinez
• Lisa Isela Massiatte, FNP-C
• Kurt M McEuen, D.M.D.
• Clare Cathryn McNamara, CCC-SLP
• Medina County Hospital District (Windcrest Nursing and Rehabilitation)
• Michael Shatek LLC
• Sylvia Villarreal Milam, COTA

• Registered Nurse in Windcrest, TX
• Providers in Windcrest, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.