Lsmaynard LLC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

Legal business name

LSMAYNARD LLC

Practice address

4500 N Park Ave Ste N801
Chevy Chase, MD 20815-7239

Phone

(301) 656-6605

NPI assigned

Dec 20, 2019

Last updated

Dec 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stuart MaynardNPI 1114065869

Title

PH.D. CNS

Phone

(301) 656-6605

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart Maynard, PH.D. CRNP, CNS-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Chevy Chase, MD
  • NPI 1114065869

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1518505544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N PARK AVE STE N801",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N PARK AVE STE N801",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157239",
            "telephone_number": "301-656-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSMAYNARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PH.D. CNS",
        "authorized_official_telephone_number": "301-656-6605",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBON",
            "identifier": "R066358",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmaynard646@comcast.net",
            "affiliation": "N",
            "address_1": "4500 N Park Ave Ste N801",
            "city": "Chevy Chase",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208157239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Lopez, LICSW
• Angela Joy Lotsikas, M.D.
• Yaohui Lou, DPT
• Loudoun Medical Group, PC (KPC Diagnostics)
• Shira Love, NP
• Tiffini Regis Lucas, M.D.
• Natalie Rose Lukaszewski, PA-C
• Katherine Lusorio, CNS, LDN, MS
• Jenny Luu
• Luxoptics LLP (luxoptics)

• Adult Psychiatric/Mental Health Registered Nurse in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.