Maxine Seaborn

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

21007 Issued in CA

Practice address

3401 Lemon St
Riverside, CA 92501-2861

Phone

(951) 686-8204

NPI assigned

May 21, 2009

Last updated

May 21, 2009By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1487889325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 MICHAEL ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012861",
            "telephone_number": "951-686-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABORN",
        "first_name": "MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "21007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevie J Scott, LAT, ATC
• Susan Scott
• Tameaka Scott
• Isabella Scozzola
• Michele Marie Scyoc, MFC
• Alisha Nykia Seabrooks, MA, BCBA
• Christopher Byerrum Seaman, M.D.
• Brittany Seamster
• Sean William Kaloostian MD Inc.
• Sean Yar, D.D.S., Inc. (Ace Dental Group)

• Licensed Practical Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.