THERESA J MATTHEWS


Address: 21680 Al Highway 79, Scottsboro, AL 35768-5904
Phone: 2565873050

THERESA J MATTHEWS (NPI# 1508950635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508950635
Entity Type Individual
Full Name THERESA J MATTHEWS
Credential CRNP
Practice Address 21680 Al Highway 79
Scottsboro
AL 35768-5904
Mailing Address 309 Taylor St
Scottsboro
AL 35768-2421
Practice Telephone 2565873050
Practice Fax Number 2565873508
Mailing Telephone 2562595313
Mailing Fax Number 2562594923
Enumeration Date 2006-10-03
Last Update Date 2013-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1-049084 AL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS BLUE SHIELD 51122650 01
AL 136138 05
AL BLUE CROSS BLUE SHIELD 51122652 01
AL TRICARE 630760576008 01
AL BLUE CROSS BLUE SHIELD 51122664 01
AL BLUE CROSS BLUE SHIELD 51122654 01
AL BLUE CROSS BLUE SHIELD 51122655 01
AL BLUE CROSS BLUE SHIELD 5112653 01
AL 136244 05
AL 136246 05

Other Providers THERESA MATTHEWS

NPI Name Taxonomy Address Enumeration
1740827096 Theresa Kimberly Matthews Nutritionist 3920 Rivard St Apt 824, Detroit, MI 48207-4746 2019-12-05
1487027041 Theresa Matthews Occupational Therapy Assistant 777 Tamiami Trl N, Naples, FL 34102-8135 2015-11-04

Office Location

Street Address 21680 AL HIGHWAY 79
City SCOTTSBORO
State AL
Zip Code 35768-5904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134768914 Tammie Jean Johnson Registered Nurse 21680 Al Highway 79, Scottsboro, AL 35768-5904 2019-12-27
1609386283 Amy Pedigo Ballard Nurse Practitioner 21680 Al Highway 79, Scottsboro, AL 35768-5904 2017-10-09
1093862237 Northeast Alabama Health Services, Inc. Clinic/Center 21680 Al Highway 79, Scottsboro, AL 35768-5904 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538787510 Advanced Physical Therapy, LLC Physical Therapist 24500 John T Reid Pkwy, Scottsboro, AL 35768 2020-07-07
1083955173 Premier Medical Clinic LLC Clinic/Center 503 Burlington Street, Scottsboro, AL 35768 2013-03-14
1285811463 Edward Wesley Knowles Md PC Surgery 911 South Broad St, Scottsboro, AL 35768 2008-01-30
1669664439 Leslie A Barrilleaux Dentist 412 E Willow St, Scottsboro, AL 35768 2007-08-15
1811049117 Dawson Staley Colvert Dentist 313 Parks Avenue, Scottsboro, AL 35768 2007-01-17
1255483806 Grady Mack Goss Dentist 313 Parks Ave, Scottsboro, AL 35768 2007-01-16
1215088026 Mandi Michelle Allen-bell Family Medicine 405 Taylor Street, Suite A, Scottsboro, AL 35768 2007-01-16
1376617571 David Pierce Chiropractic Inc Chiropractor 624 East Willow St, Scottsboro, AL 35768 2006-11-20
1588733299 Valley Dental Implant Center LLC Dentist 921 South Broad St, Scottsboro, AL 35768 2006-11-07
1558465815 Mark A Reece Dentist 416 E Laurel, Scottsboro, AL 35768 2006-09-08
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083756472 Charis W Peek Nurse Practitioner 2207 Moody Ridge Rd, Scottsboro, AL 35768-4113 2007-02-13
1457991168 Danielle Anderson Nurse Practitioner 406 Taylor St Ste A, Scottsboro, AL 35768-2406 2020-01-10
1578895363 Rachel A Gonce Nurse Practitioner 380 Woods Cove Rd, Scottsboro, AL 35768-2428 2010-02-04
1467477216 Donna Watson Nurse Practitioner 380 Woods Cove Rd, Scottsboro, AL 35768-2428 2006-07-13
1174567648 Linda R. Windsor Nurse Practitioner 380 Woods Cove Rd, Scottsboro, AL 35768-2428 2006-06-15
1669416053 Kathleen Glor Curry Nurse Practitioner 380 Woods Cove Rd, Scottsboro, AL 35768-2428 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356948368 Starr Ellen Valerio Nurse Practitioner 115 Rachel Dr Nw, Huntsville, AL 35806 2020-10-02
1336756600 Vivian Elizabeth Jackson Nurse Practitioner 1216 25th St N, Birmingham, AL 35234-3139 2020-09-30
1104430446 Victory Health of Oneonta LLC Nurse Practitioner 28252 Al-75, Oneonta, AL 35121 2020-09-03
1467070300 Sarah Katherine Clarke Nurse Practitioner 861 Pinemont Dr, Mobile, AL 36609-3037 2020-07-07
1104448919 Thaila Keodouangdy Nurse Practitioner 9350 Ofallon Dr, Mobile, AL 36695-9813 2020-05-14
1447872320 Irina Guerard Nurse Practitioner 8886 Lake View Dr, Fairhope, AL 36532-6939 2020-05-13
1528680915 Pure Integrative Wellness and Hydration LLC Nurse Practitioner 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 2020-05-08
1811517402 Lillian Teicher Branham Nurse Practitioner 382 Slaughter Rd, Madison, AL 35758-2008 2020-04-23
1265061006 Margaret Kelly Mcclusky Nurse Practitioner 10147 Wildwood Ln, Cottondale, AL 35453-1117 2020-04-03
1427686062 Tara Cooley Nurse Practitioner 909 Tracey Ln, Decatur, AL 35601-7701 2020-03-30
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Competitor

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City SCOTTSBORO
Zip Code 35768

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Dataset Information

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.

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