KATHLEEN J MATTHEWS (NPI# 1407878259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407878259 |
| Entity Type | Individual |
| Full Name | KATHLEEN J MATTHEWS |
| Credential | ANP |
| Practice Address |
491 N Knik St Wasilla AK 99654-7049 |
| Practice Telephone | 9073769500 |
| Practice Fax Number | 9073769507 |
| Mailing Telephone | 9073769500 |
| Mailing Fax Number | 9073769507 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
407 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
407 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677895 | Kathleen Forbes Matthews | Physician Assistant | 3735 Bonita Pl, Macon, GA 31204-1309 | 2019-06-06 |
| 1831620921 | Kathleen Matthews | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, University of Colorado School of Medicine Gme, Aurora, CO 80045-2570 | 2017-03-21 |
| 1376922872 | Kathleen Michele Matthews | Occupational Therapist | 1210 S Bascom Ave Ste 127, San Jose, CA 95128-3535 | 2015-05-29 |
| 1326395229 | Kathleen A Matthews | Pharmacist | 1700 E 38th St, Pharmacy Service (118), Marion, IN 46953-4568 | 2012-08-09 |
| 1720361868 | Kathleen Carey Matthews | Psychologist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2011-09-26 |
| 1275523995 | Kathleen Matthews | Specialist | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-10-25 |
| Street Address |
491 N KNIK ST |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514652 | Erin Rockey, Anp LLC | Nurse Practitioner | 491 N Knik St, Wasilla, AK 99654-7049 | 2019-08-22 |
| 1285092023 | Angela Buresh | Counselor | 491 N Knik St, Wasilla, AK 99654-7049 | 2016-02-08 |
| 1801276605 | Kristie A Alleva | Community/Behavioral Health | 491 N Knik St, Wasilla, AK 99654-7049 | 2015-06-05 |
| 1154717023 | Wellness and Health | Counselor | 491 N Knik St, Wasilla, AK 99654-7049 | 2015-04-08 |
| 1851663793 | Linda Anastastia Ransom | Counselor | 491 N Knik St, Wasilla, AK 99654-7049 | 2012-02-08 |
| 1104063056 | Jeanine B Sparks | Counselor | 491 N Knik St, Wasilla, AK 99654-7049 | 2009-01-14 |
| 1356525349 | Mattie 'randi' Mae Owens | Counselor | 491 N Knik St, Wasilla, AK 99654-7049 | 2007-12-26 |
| 1295936128 | Kayleen Hetrick | Counselor | 491 N Knik St, Wasilla, AK 99654-7049 | 2007-05-29 |
| 1285845511 | Steven Hrin | Psychologist | 491 N Knik St, Wasilla, AK 99654-7049 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787363 | Naomi Tonje Johnson | Nurse Practitioner | 5428 E Rebecca Nicole St Unit C, Wasilla, AK 99654-0002 | 2020-03-27 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1104251990 | Kirsten D Larson | Nurse Practitioner | 2730 W Stonebluff Dr, Wasilla, AK 99654-9442 | 2013-09-11 |
| 1366731218 | Sarah Elizabeth Nielsen | Nurse Practitioner | 2341 S Fern St Ste 300, Wasilla, AK 99654-8589 | 2011-03-31 |
| 1679806137 | Vanessa Darnell | Nurse Practitioner | 351 W Parks Hwy, Ste 100, Wasilla, AK 99654-6920 | 2009-09-15 |
| 1497770903 | Sandra K. Spencer | Nurse Practitioner | 545 N Knik St, Wasilla, AK 99654-7022 | 2006-07-13 |
| 1366058224 | Jesse Faye Cooper | Nurse Practitioner | 2341 S Fern St Ste 300, Wasilla, AK 99654-8627 | 2020-09-16 |
| 1134733157 | Christine Marie Michel | Nurse Practitioner | 1700 E Parks Hwy, Wasilla, AK 99654-7352 | 2020-09-08 |
| 1932744836 | Altair Integrative Wellness | Nurse Practitioner | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-11-14 |
| 1114573284 | Emily Marie Schmitt | Nurse Practitioner | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2019-08-14 |
| Find all providers in WASILLA | ||||
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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.