Jo Anne Maynard, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F301032 Issued in NY

Practice address

740 County Road 39a
Southampton, NY 11968-5247

Phone

(631) 638-7702

NPI assigned

Jul 14, 2006

Last updated

Sep 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Prohealth Care Associates, LLP

  • Ophthalmology Physician
  • Riverhead, NY
  • NPI 1811935943
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1730105792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255404",
            "telephone_number": "631-495-5295",
            "fax_number": "631-675-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685247",
            "telephone_number": "631-638-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Commack Rd",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117255404",
            "country_code": "US",
            "telephone_number": "631-495-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JO ANNE",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F301032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02376410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathalie B Martinez, NP
• Kari Louise Massarotti, DPT
• Thomas Mathew, M.D.
• Matthew McDavid LCSW PLLC (McDavid Creative Therapy)
• Lauren Debra Matzen, MAC,LICAC,NCCAOM DIP
• Mbody Minimally Invasive Surgery, PC
• Olga L McAbee, MD
• Elaine Mary McCarthy, PA
• Christopher Joseph McCord, PA
• Matthew Collins McDavid, LCSW

• Nurse Practitioner in Southampton, NY
• Providers in Southampton, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.