Marisa Maxwell, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

60815112 Issued in WA

Practice address

18218 North Rd
Bothell, WA 98012-6265

Phone

(425) 431-7520

NPI assigned

Apr 16, 2018

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

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1477040491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20420 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18218 NORTH RD",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126265",
            "telephone_number": "425-431-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "60815112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanela Mattiuz, M.D
• Thomas Mauer
• Sara J Maurer, ARNP
• Maxor National Pharmacy Services LLC
• Maxor National Pharmacy Services LLC
• Mayemura, Inc.
• Rachel Maynard, M.A., CCC-SLP, IBCLC
• James Mburu
• Michal McAllister, LMP
• Emily Sarah McCarty, RN

• School Registered Nurse in Bothell, WA
• Providers in Bothell, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.