Kathryn Ann Maestas, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

727255 Issued in CA

Practice address

81709 Dr Carreon Blvd Ste B1
Indio, CA 92201-5510

Phone

(760) 347-0000

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1346962305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE B1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015510",
            "telephone_number": "760-347-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE B1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015510",
            "telephone_number": "760-347-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "727255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christianne Lizzette Madriaga, RN PHN
• Alyce Madrigal
• Julie A Madsen, PSY.D.
• Maria Carlota Maduena, LCSW
• Lashara Renita Maea, FNP
• Jhosselyne Angelina Magallon, HIGH SCHOOL DIPLOMA
• Laheyla Ghaylyn Magallon
• Suzzette Magdziasz
• Elena Elva Maher
• Richard T Maher, R.N.

• Licensed Vocational Nurse in Indio, CA
• Providers in Indio, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.