Active NPI
Maima Massaquoi, LPN
- Nursing Care Agency
- Nashville, TN
National Provider Identifier
1891344941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 88428
- Practice address
- 1101 Kermit Dr Ste 204
Nashville, TN 37217-5102 - Phone
- (615) 365-4424
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 88428 | TN | Primary |
Addresses
Primary practice location
1101 Kermit Dr Ste 204
Nashville, TN 37217-5102
Mailing address
1101 Kermit Dr Ste 204
Nashville, TN 37217-5102
Phone (615) 365-4424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88428 | Other | TN | NURSING LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mmassaquoi@brightquest.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88428 | TN | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1891344941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 KERMIT DR STE 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372175102",
"telephone_number": "615-365-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 KERMIT DR STE 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372175102",
"telephone_number": "615-365-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSAQUOI",
"first_name": "MAIMA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "TN",
"license": "88428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "88428",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mmassaquoi@brightquest.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 35th Ave N",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372093921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.