BETH MATHEWS (NPI# 1326157595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326157595 |
| Entity Type | Individual |
| Full Name | BETH MATHEWS |
| Credential | APN |
| Practice Address |
1504 Patton Dr Unit 2 Mahomet IL 61853-8126 |
| Practice Telephone | 2177842633 |
| Practice Fax Number | 2175900272 |
| Mailing Telephone | 2177842633 |
| Mailing Fax Number | 2175900272 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209000456 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209000456 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PIN | S67258 | 01 |
| IL | ILL. APN LICENSE | 209000456 | 01 |
| IL | ANCC CREDENTIAL # | 30227022 | 01 |
| IL | MEDICARE PTAN | F400299982 | 01 |
| IL | ILL. RN LICENSE# | 041-177521 | 01 |
| IL | FIRST HEALTH/COVENTRY | 5711821 | 01 |
| Street Address |
1504 PATTON DR UNIT 2 |
| City | MAHOMET |
| State | IL |
| Zip Code | 61853-8126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376566026 | Galen L. Dale | Dentist | 1504 Patton Dr, Suite #1, Mahomet, IL 61853-8113 | 2006-07-25 |
| 1972926236 | Gibson Community Hospital Association | Surgery | 1504 Patton Dr, Unit #3, Mahomet, IL 61853-8126 | 2014-01-22 |
| 1235432568 | Clinton Matthew Witsman | Physical Therapist | 1504 Patton Dr, Unit 4, Mahomet, IL 61853-8126 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437365 | Kurtz Counseling, LLC | Social Worker | 207 E Oak Street, Suite E, Mahomet, IL 61853 | 2017-10-02 |
| 1538378757 | Gray Clinic of Chiropractic, Ltd | Chiropractor | 207 E. Oak St, Mahomet, IL 61853 | 2007-05-22 |
| 1730391269 | Downstate Chiropractic Center | Chiropractor | 1002 Commercial Drive, Suite 4, Mahomet, IL 61853 | 2007-05-04 |
| 1861547515 | John Thomas Karich | Dentist | 406 E Oak St, Mahomet, IL 61853 | 2007-01-24 |
| 1700975653 | Nezar Ahmed Kassem | Dentist | 2012 Tin Cup Road, Suite B, Mahomet, IL 61853 | 2006-10-11 |
| 1285737957 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 804 B Eastwood Drive, Mahomet, IL 61853 | 2006-09-07 |
| 1083663918 | Randall A Megeff | Emergency Medicine | 1001 Heather Drive, Mahomet, IL 61853 | 2006-05-08 |
| 1811129836 | Laughton Chiropractic Clinic, LLC | Chiropractor | 417 Main Street, Mahomet, IL 61853 | 2009-08-10 |
| 1629227392 | Valerie Woodruff Dds PC | Dentist | 200 N Eastwood Drive, Mahomet, IL 61853 | 2008-09-17 |
| 1386721090 | Jean L Husmann | Physician Assistant | 1001 Heather Drive, Mahomet, IL 61853 | 2006-11-01 |
| Find all providers in zip 61853 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
| 1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
| 1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
| 1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
| 1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
| 1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
| 1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
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| 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.