MRS. SUZANNE RAYE MATTHEWS (NPI# 1194022921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194022921 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE RAYE MATTHEWS |
| Credential | F.N.P.-B.C. |
| Practice Address |
307 Broadway Marble Hill MO 63764 |
| Mailing Address |
Hc 64 Box 5010 Marble Hill MO 63764-9413 |
| Practice Telephone | 5732380038 |
| Practice Fax Number | 5732380042 |
| Mailing Telephone | 5739868705 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2010032729 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730369851 | Suzanne Patricia Matthews | Physical Therapist | 8220 Northcreek Dr, Suite 200, Cincinnati, OH 45236-2288 | 2007-11-06 |
| Street Address |
307 BROADWAY |
| City | MARBLE HILL |
| State | MO |
| Zip Code | 63764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201935 | J & J Assisted Living LLC | Assisted Living Facility | 104 Wesbecher Ln, Marble Hill, MO 63764 | 2020-10-02 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1467950196 | Ronald Brand | Counselor | 103 El Nathan Drive, Marble Hill, MO 63764 | 2018-01-29 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1699293274 | Alyssa Naschell Grado | Physical Therapist | 702-mo 34, Marble Hill, MO 63764 | 2017-09-05 |
| 1063969699 | Julie Elfrink | Registered Nurse | 107 N. Hwy 51, Marble Hill, MO 63764 | 2016-09-01 |
| 1619281789 | Ryan Michael Sutterer | Optometrist | 503 W. Main Street, Marble Hill, MO 63764 | 2010-08-01 |
| 1215267976 | L. Mark Milde | Dentist | 101 First St., Marble Hill, MO 63764 | 2009-12-31 |
| 1194985739 | J & J Assistive Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 Wesbecher, Marble, MO 63764 | 2008-06-16 |
| 1962565499 | Cross Trails Medical Center | Clinic/Center | 109 Hwy 51 North, Marble Hill, MO 63764 | 2006-12-18 |
| Find all providers in zip 63764 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MARBLE HILL |
| Zip Code | 63764 |
Please comment or provide details below to improve the information on MRS. SUZANNE RAYE MATTHEWS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.