Individual provider Active NPI

Suzanne Maye, APRN

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1780263665
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11009198 Issued in FL
Practice address
2498 Stevens Creek Blvd
San Jose, CA 95128-1652
Phone
(408) 998-5400
Fax
(408) 998-5414
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 67626 NM
Family Nurse Practitioner 363LF0000X 95021845 CA
Nurse Practitioner 363L00000X APRN11009198 FL Primary

Addresses

Primary practice location

2498 Stevens Creek Blvd
San Jose, CA 95128-1652

Mailing address

3700 Windmeadows Blvd Apt E60
Gainesville, FL 32608-0426
Phone (352) 989-0159

Other practice location 1

200 W 1st St Ste 525
Roswell, NM 88203-4676
Phone (352) 989-0159

Other practice location 2

14835 SE 85th St
Ocklawaha, FL 32179-3556
Phone (855) 838-5656

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL suzanne.draustin@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220407001906 FL Practitioner - Nurse Practitioner 1052707668 Practice locations: Gainesville, FL
I20230907001461 CA Practitioner - Nurse Practitioner 1052707668 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009198FLMDNurse Practitioner
67626NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Aug 1, 2023 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

Interoperability endpoints

  • Direct secure messaging: suzanne.maye.p1@direct.caremorewest.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1780263665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WINDMEADOWS BLVD APT E60",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080426",
            "telephone_number": "352-989-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 STEVENS CREEK BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281652",
            "telephone_number": "408-998-5400",
            "fax_number": "408-998-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W 1st St Ste 525",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882034676",
            "country_code": "US",
            "telephone_number": "352-989-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14835 SE 85th St",
            "address_purpose": "LOCATION",
            "city": "Ocklawaha",
            "state": "FL",
            "postal_code": "321793556",
            "country_code": "US",
            "telephone_number": "855-838-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYE",
        "first_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "67626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021845",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11009198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "suzanne.draustin@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2498 Stevens Creek Blvd",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951281652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.