Individual provider Active NPI

Joi Mainoo, RN, ATC, LAT

  • Registered Nurse
  • Little Elm, TX
National Provider Identifier
1336674589
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1014362 Issued in TX
Practice address
2789 Sunlight Dr
Little Elm, TX 75068-7615
Phone
(469) 952-8215
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT8116 TX
Nurse's Aide 376K00000X NA0060041634 TX
Student in an Organized Health Care Education/Training Program 390200000X TX
Registered Nurse 163W00000X 1014362 TX Primary

Addresses

Primary practice location

2789 Sunlight Dr
Little Elm, TX 75068-7615

Mailing address

2789 Sunlight Dr
Little Elm, TX 75068-7615
Phone (469) 952-8215

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1014362TXMDRegistered Nurse
AT8116TXMDAthletic Trainer
NA0060041634TXMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1336674589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 SUNLIGHT DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687615",
            "telephone_number": "469-952-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 SUNLIGHT DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687615",
            "telephone_number": "469-952-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINOO",
        "first_name": "JOI",
        "credential": "RN, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8116",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0060041634",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1014362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.