Individual provider Active NPI

Mary Maina

  • Registered Nurse
  • Methuen, MA
National Provider Identifier
1396388401
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2298847 Issued in MA
Practice address
135 Armstrong Ave
Methuen, MA 01844-6302
Phone
(978) 876-1062
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2298847 MA Primary

Addresses

Primary practice location

135 Armstrong Ave
Methuen, MA 01844-6302

Mailing address

135 Armstrong Ave
Methuen, MA 01844-6302
Phone (978) 876-1062

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kabuthiac@husson.edu Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
2298847MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vine Homecare & Staffing, Inc. Current Accepting new patients
Malaika Home Care LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1396388401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ARMSTRONG AVE",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446302",
            "telephone_number": "978-876-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ARMSTRONG AVE",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018446302",
            "telephone_number": "978-876-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINA",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2298847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kabuthiac@husson.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "135 Armstrong Ave",
            "city": "Methuen",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018446302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.