Active NPI
Liji Ann Mathew, NP
- Nurse Practitioner
- McAllen, TX
National Provider Identifier
1003573775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP1008907
- Practice address
- 801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117 - Phone
- (956) 686-2700
- Fax
- (956) 686-2708
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP1008907 | TX | Primary |
Addresses
Primary practice location
801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117
Mailing address
801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117
Phone (956) 655-0287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23157422 | Other | TX | TEXAS DL NUMBER |
| 1008907 | Other | TX | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1008907 | TX | MD | Nurse Practitioner |
Interoperability endpoints
- mathew.liji@ashleypediatrics.opdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1003573775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E NOLANA AVE STE 13A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046117",
"telephone_number": "956-655-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E NOLANA AVE STE 13A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046117",
"telephone_number": "956-686-2700",
"fax_number": "956-686-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "LIJI",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP1008907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DL NUMBER",
"identifier": "23157422",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "1008907",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.