Tanya Kapp Maxwell, NP
Nurse Practitioner in Statesville, NC. Individual provider (NPI-1).
NPI number1023045135
StatusActive
Last updated in NPPESJan 25, 2008
Details
- NPI
- 1023045135
- Entity type
- Individual (NPI-1)
- Name
- Tanya Kapp Maxwell
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2006
- Last updated
- Jan 25, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 900319 | NC | Yes |
Practice location
1818 Davie AveStatesville, NC 28677-3524
Phone 704-873-1036 · Fax 704-873-1058
Mailing address
Po Box 1845Statesville, NC 28687-1845
Phone 704-873-4277 · Fax 704-873-4511
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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