Individual provider Active NPI

Liji Ann Mathew, NP

  • Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1003573775
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP1008907 Issued in TX
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

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23157422OtherTXTEXAS DL NUMBER
1008907OtherTXMEDICAL 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

LicenseStateTypeSpecialty
AP1008907TXMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.