Jennifer Maxwell, RN, EMT-P

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

647990 Issued in TX

Practice address

424 Savannah Rd
Lewes, DE 19958-1462

Phone

(302) 645-3300

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician - Paramedic, Registered Nurse

State licenses

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1992284665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18805 BETHPAGE DR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584851",
            "telephone_number": "817-897-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JENNIFER",
        "credential": "RN, EMT-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "137629",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "647990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PORTER",
            "credential": "RN, EMT-P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Mathe, RN
• Kelly Mathe
• Logan Patrick Mathews, PA-C
• Taylor Morgan Matthews, R.N.
• Linda Mawhinney
• Casey Elizabeth Mayer, FNP-BC
• Holly A Mayhew
• Shawna Mayles
• Roxanne Mayo
• Melanie Lynn McAfee, CRNA

• Emergency Registered Nurse in Lewes, DE
• Providers in Lewes, DE by specialty
• Emergency Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.