CODY MATSON (NPI# 1568974822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568974822 |
| Entity Type | Individual |
| Full Name | CODY MATSON |
| Practice Address |
104 W 5th Ave Spokane WA 99204-4880 |
| Practice Telephone | 5099921888 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60967912 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G140540 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 W 5TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157591 | Fifth and Browne Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 104 W 5th Ave, Spokane, WA 99204-4880 | 2005-07-12 |
| 1295384923 | Meghan Mcfarland | Nurse Practitioner | 104 W 5th Ave, Spokane, WA 99204-4820 | 2019-09-05 |
| 1255809893 | Alisha Christine Sullivan | Nurse Practitioner | 104 W 5th Ave, Spokane, WA 99204-4820 | 2018-11-12 |
| 1932698107 | Spokane Behavioral Health LLC | Psychiatric Hospital | 104 W 5th Ave, Spokane, WA 99204-4880 | 2018-05-03 |
| 1679929541 | James Emil Fernando | Family Medicine | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2016-05-10 |
| 1386098853 | Alex Michael Heimbigner | Student in an Organized Health Care Education/Training Program | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2016-04-20 |
| 1558758789 | Jennifer Jane Hadlock | Student in an Organized Health Care Education/Training Program | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2015-04-26 |
| 1629465026 | Maya Swaminathan | Internal Medicine | 104 W 5th Ave, Ste 200w, Spokane, WA 99204 | 2015-04-23 |
| 1598162943 | Lisa Reimer | Pharmacist | 104 W 5th Ave, Suite 112 West, Spokane, WA 99204-4880 | 2014-12-01 |
| 1356751564 | Caleb Skipper | Student in an Organized Health Care Education/Training Program | 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 | 2014-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1376104232 | Bethany Ann Heath | Nurse Practitioner | 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 | 2019-06-21 |
| 1467948471 | Nicholas Goodwin | Nurse Practitioner | 1106 W Garland Ave, Spokane, WA 99205-2735 | 2018-07-03 |
| 1770095325 | Erin Ryan | Nurse Practitioner | 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 | 2017-11-03 |
| 1972967305 | Roberta Plunkett | Nurse Practitioner | 140 S. Arthur St., Suite 415, Spokane, WA 99202 | 2016-04-12 |
| 1861815037 | Michael Jude Lynch | Nurse Practitioner | 2136 W Riverside Ave, Spokane, WA 99201-1444 | 2014-01-24 |
| 1245507664 | Korsgaard Mental Health, Inc | Nurse Practitioner | 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220 | 2011-11-30 |
| 1427247410 | Kristin Angelic Miller | Nurse Practitioner | 3711 W Woodside Ave, Spokane, WA 99208-4860 | 2007-10-16 |
| Find all providers in SPOKANE | ||||
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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.