Tammy Lea Maynard, DI

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

000069898 Issued in KY

Practice address

1906 Goldsmith LN
Louisville, KY 40218-2066

Phone

(502) 498-2927

NPI assigned

Sep 20, 2010

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

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1821306226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 SARATOGA CIR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758306",
            "telephone_number": "859-230-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GOLDSMITH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182066",
            "telephone_number": "502-498-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Saratoga Cir",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758306",
            "country_code": "US",
            "telephone_number": "859-230-8146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TAMMY",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "DI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "000069898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mayle
• Kristen Maynard
• Michelle Renee Maynard, PT
• Paige Renee Maynard, B.S, IECE, TVI
• Staci Beth Maynard, PROVISIONAL TVI
• Teri L Maynard
• Alice Maynor
• Tracey Gregory Maynor, PAC
• Pleshette Maypray
• Ashley Christine Mays, BSW

• Developmental Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.