MATRIX WELLNESS SOLUTIONS (NPI# 1699046235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699046235 |
| Entity Type | Organization |
| Organization Name | MATRIX WELLNESS SOLUTIONS |
| Practice Address |
384 Carriage House Dr Ste D Suite D Jackson TN 38305-2268 |
| Practice Telephone | 7312562006 |
| Practice Fax Number | 7312562007 |
| Mailing Telephone | 7312562006 |
| Mailing Fax Number | 7312562007 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | MR. DAVID BRIAN HUGHES (C0-OWNER) |
| Authorized Official Telephone | 7315718808 |
| Authorized Official Credential | GNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN 007296 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN0013215 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
384 CARRIAGE HOUSE DR STE D SUITE D |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396202396 | Roxane Theresa Moncure | Nurse Practitioner | 919 Rutherford Dr, Jackson, MS 39206-2033 | 2019-02-26 |
| 1306350129 | Tamika M Broome | Nurse Practitioner | 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 | 2017-12-01 |
| 1073840021 | Alanna Jillian Wright | Nurse Practitioner | 1815 Hospital Dr Ste 140b, Jackson, MS 39204-3425 | 2009-11-12 |
| 1578521852 | Vicki Helena Tyrrell | Nurse Practitioner | 400 Hinckley Blvd, Suite 300, Jackson, MI 49203-6125 | 2006-05-03 |
| 1346861440 | Charlie Murphy Gantt | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2020-04-29 |
| 1497396394 | Daniel Patrick Welch | Nurse Practitioner | 2969 Curran Dr N, Jackson, MS 39216-4121 | 2019-10-01 |
| 1891253811 | Felecia D Carter | Nurse Practitioner | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2019-03-08 |
| 1871068098 | Branson Hal Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4505 | 2018-10-04 |
| 1518457928 | Shemina Johnnice Ransom | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-05-11 |
| 1609389436 | April A Calvert | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-11-15 |
| Find all providers in JACKSON | ||||
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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.