Cheryl Maytubby, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

825906 Issued in CA

Practice address

18512 Redwood Cir
Fountain Valley, CA 92708-6601

Phone

(714) 642-7595

NPI assigned

Jun 20, 2015

Last updated

Jun 20, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1396127817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18512 REDWOOD CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086601",
            "telephone_number": "714-642-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18512 REDWOOD CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086601",
            "telephone_number": "714-642-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYTUBBY",
        "first_name": "CHERYL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "825906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Rehabilitation, Inc. (Select Physical Therapy)
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• Darletha Matthews, MSN, FNP-BC, RN-BC
• Mary Maurer
• Maurice Shafik Ghattas MD a Professional Corp
• Edward G. Maywood, D.C.
• Arlene Mazak, LMFT
• Christopher McClain
• Kaitlyn McClain
• Annette Louise McConnaughey, CNM

• Registered Nurse in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; 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.