Individual provider Active NPI

Maribeth Floresta McKinney, MSN-FNP

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1578878948
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 618669 Issued in CA
Practice address
12511 Oxnard St Unit a
North Hollywood, CA 91606-4458
Phone
(714) 654-7796
NPI assigned
Aug 10, 2010
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN 618669 CA Primary

Addresses

Primary practice location

12511 Oxnard St Unit a
North Hollywood, CA 91606-4458

Mailing address

12511 Oxnard St Unit a
North Hollywood, CA 91606-4458
Phone (714) 654-7796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722001323 CA Practitioner - Nurse Practitioner 6406154822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 E Chevy Chase Dr
Suite 2
Glendale, CA 91205-3181
Phone (747) 277-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 618669CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Noho West Medical Group, Inc. CurrentSince Apr 5, 2025 Accepting new patients
Nourish Care Inc Current Accepting new patients

Locations

204 E Chevy Chase Dr
Ste 2
Glendale, CA 91205
Phone (747) 215-6767

12511 Oxnard St
Unit A
North Hollywood, CA 91606
Phone (714) 654-7796

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1578878948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 OXNARD ST UNIT A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064458",
            "telephone_number": "714-654-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 OXNARD ST UNIT A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064458",
            "telephone_number": "714-654-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MARIBETH",
        "middle_name": "FLORESTA",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN 618669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.