Debra Kay Maas, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

196465 Issued in TX

Practice address

401 West Williams
Saint Jo, TX 76265

Phone

(940) 902-1197

NPI assigned

Feb 19, 2018

Last updated

Mar 17, 2018By the provider in NPPES

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821598665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "SAINT JO",
            "state": "TX",
            "postal_code": "762650158",
            "telephone_number": "940-902-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WEST WILLIAMS",
            "city": "SAINT JO",
            "state": "TX",
            "postal_code": "76265",
            "telephone_number": "940-902-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 158",
            "address_purpose": "LOCATION",
            "city": "Saint Jo",
            "state": "TX",
            "postal_code": "762650158",
            "country_code": "US",
            "telephone_number": "940-902-1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAAS",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "196465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Baxter
• City of Saint Jo
• Jeff Crippen
• Samantha Elaine Harris
• JFC Enterprises LLC
• Nocona Hospital District (NGH Rural Health Clinic Saint Jo)
• Nocona Hospital District (NGH Rural Health Clinic Saint Jo)
• Nocona Medical Clinic PA (Saint Jo Healthcare Center)
• Saint Jo Independent School District

• Licensed Vocational Nurse in Saint Jo, TX
• Providers in Saint Jo, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.