Matilde Teresa Barksdale

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5818 NW Beckham CT
Port Saint Lucie, FL 34986-4146

Phone

(772) 344-1958

Fax

(772) 344-1958

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1003163155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 NW BECKHAM CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864146",
            "telephone_number": "772-344-1958",
            "fax_number": "772-344-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 NW BECKHAM CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864146",
            "telephone_number": "772-344-1958",
            "fax_number": "772-344-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "MATILDE",
        "middle_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Barela
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• Ernesto Barral, M.D.
• Frantzso Barthelemy
• Kerline Barthelemy
• Amy Bartley, MSPT

• Case Manager/Care Coordinator in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.