Camille Kaydiane Maxwell, LPN,MHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

563 High St
Burlington, NJ 08016-4592

Phone

(609) 496-8858

NPI assigned

Jan 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1467165647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LYNN DR",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162879",
            "telephone_number": "609-496-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 HIGH ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164592",
            "telephone_number": "609-496-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "CAMILLE",
        "middle_name": "KAYDIANE",
        "credential": "LPN,MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia M Mathis
• Leonida D. Matibag, RN
• Stephen John Matlaga, D.C.
• Adrienne L Matthews
• Shannon Matullo, RBT
• Ruth N Mbithi
• Caitlin McClain
• Ana McClendon, LPN
• Cindi McDonald, BA, COTA
• Janet McEwen, LPN

• Community Health Worker in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Community Health Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.