Stephanie Marie Maher

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN299493 Issued in PA

Practice address

107 N Baldwin St
Johnson City, NY 13790-1431

Phone

(570) 468-0189

NPI assigned

Jan 14, 2020

Last updated

Jan 14, 2020By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1497395818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N BALDWIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901431",
            "telephone_number": "570-468-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N BALDWIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901431",
            "telephone_number": "570-468-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN299493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lyford
• Bethany C Maby
• Tamara Macinski, NP
• Colleen Magacs
• Justine A J Magurno, M.D.
• Fairy Kiritkumar Maheta, MD
• Suganya Mahinthan, MD
• Catherine Mahoney, PA
• Nathan Major, MD
• Kaylyn Malenda, NP

• Licensed Practical Nurse in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.