Damaris Waithira Maina

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2355140 Issued in MA

Practice address

76 Bayberry Dr
Lowell, MA 01852-4965

Phone

(978) 726-3109

NPI assigned

Sep 12, 2022

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

Other identifiers 1

Electronic endpoints 1

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1609597293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BAYBERRY DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524965",
            "telephone_number": "978-726-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BAYBERRY DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018524965",
            "telephone_number": "978-726-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINA",
        "first_name": "DAMARIS",
        "middle_name": "WAITHIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2355140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787263109",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "76 Bayberry Dr",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018524965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan Mahoney
• Minh Mai
• Qi NA Mai, PMHNP
• Coy B Maienza
• Alice Maina
• Tami Esther Mainemer, LICSW
• Ruth Maingi, LPN
• Robyn E Maislin
• Jonathan Major
• Emily Majsak, LCSW

• Registered Nurse in Lowell, MA
• Providers in Lowell, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.