Heather Jo Maxwell, ARNP, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

78609 Issued in OK

Practice address

1400 W Pawnee St
Cleveland, OK 74020-3020

Phone

(918) 358-3588

NPI assigned

Aug 28, 2009

Last updated

May 2, 2011By 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)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: heather.maxwell.4@13140.direct.athenahealth.com

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.

• Cleveland Area Hospital Authority

  dba Lake Area Medical Associates

  • General Practice Physician
  • Cleveland, OK
  • NPI 1174774855
  NPD (past)
• Cleveland Area Hospital Holdings, Inc.

  dba Cleveland Area Hospital

  • Critical Access Hospital
  • Cleveland, OK
  • NPI 1427295872
  NPD (past)
• Cleveland Area Hospital Holdings, Inc.

  dba Lake Area Medical Associates

  • Rural Health Clinic/Center
  • Cleveland, OK
  • NPI 1588160774
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1457584195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "HEATHER",
        "middle_name": "JO",
        "credential": "ARNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "78609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elise Letney, D.O.
• Wei-Ming Liou, M.D.
• Kayla Renee Lyons
• Kenna Martinez-Budnik
• Materelli Home Health LLC
• Skyler McAlister
• Vickie L McBee, PA
• Brandi McCormack
• Darcie McCullar
• Kelsee Lane McCutchen, MS, LPC

• Pediatric Nurse Practitioner in Cleveland, OK
• Providers in Cleveland, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.