Active NPI
Robert A Maines, RN
- Administrator Registered Nurse
- Lafayette, IN
National Provider Identifier
1720387921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 28168982A
- Practice address
- 1013 N 13TH St
Lafayette, IN 47904-2011 - Phone
- (765) 428-8888
- Fax
- (765) 428-8889
- NPI assigned
- Mar 28, 2011
- Last updated
- Mar 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 28168982A | IN | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 28168982A | IN | |
| Emergency Registered Nurse | 163WE0003X | 28168982A | IN | |
| Ophthalmic Registered Nurse | 163WX1100X | 28168982A | IN |
Addresses
Primary practice location
1013 N 13TH St
Lafayette, IN 47904-2011
Mailing address
4252 E 100 S Apt 3
Kokomo, IN 46902-9129
Phone (765) 428-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28168982A | IN | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Lafayette Retina Center, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Lafayette, IN
- NPI 1629280813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1720387921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4252 E 100 S APT 3",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469029129",
"telephone_number": "765-428-8888",
"fax_number": "765-428-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 N 13TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042011",
"telephone_number": "765-428-8888",
"fax_number": "765-428-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINES",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "IN",
"license": "28168982A",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IN",
"license": "28168982A",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "IN",
"license": "28168982A",
"primary": false
},
{
"code": "163WX1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ophthalmic",
"state": "IN",
"license": "28168982A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
- Ravish J Mahajan, MD
- Raja S Mahidhara, MD
- Keith E Mahin, D.O.
- Maham Mahmood, M.D.
- Karen Mahoney
- Maintaining Cancer Through Elegence Corp (A Place For Women)
- Sonal D Majmundar, D.O.
- Major Hospital (Saint Anthony Rehabilitation and Nursing Center)
- Danielle Marie Makowicz, MBA, BSN, RN
- Marsha Eileen Malacina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.