Maydra Ann Maas, CLINICAL NURSE SPECI

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

R0832029 Issued in MN

Practice address

120 Fallwood Road
Redwood Area Hospital
Redwood Falls, MN 56283-1828

Phone

(508) 747-2519

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1437326022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 200TH STREET",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561804422",
            "telephone_number": "507-742-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FALLWOOD ROAD",
            "address_2": "REDWOOD AREA HOSPITAL",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831828",
            "telephone_number": "508-747-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "MAYDRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CLINICAL NURSE SPECI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "MN",
            "license": "R0832029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Kuehl, D.C.
• Breanna Larson, RN, PHN
• Sarah Elizabeth Lechner, NP-C
• Larry Omer Leske, R.PH.
• Stephen John Luzar, M.A., L.P.
• Randy Michael Maland, DC
• Terri Jo Malecek, CNP
• Janet L Marti, CNP
• Charles Scott Martinson
• Natalie K Mathiowetz, RD

• Clinical Nurse Specialist in Redwood Falls, MN
• Providers in Redwood Falls, MN by specialty
• Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.