Kelley J. Mathews, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

169519 Issued in NC

Practice address

2818 Neuse Blvd
New Bern, NC 28562-2850

Phone

(252) 636-4964

Fax

(252) 636-4970

NPI assigned

Jul 16, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: kmathews@cchd.curemd.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Craven County

  • Community Based Hospice Care Agency
  • New Bern, NC
  • NPI 1154399434
  NPD (past)
• Craven County

  • State or Local Public Health Clinic/Center
  • New Bern, NC
  • NPI 1295801827
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1043474265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12610",
            "address_2": "2818 NEUSE BLVD.",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612610",
            "telephone_number": "252-636-4964",
            "fax_number": "252-636-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622850",
            "telephone_number": "252-636-4964",
            "fax_number": "252-636-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "KELLEY",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "169519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005702",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kandice Mason
• Sherry A'Lisa Mason, LCMHC
• Cara June Massey
• Christopher B Masters, PT
• Carrie D Matheny, BSN, RN
• Rebecca Christine Matlon, RD, LDN
• Farrah Matos
• Capresha Mattocks-Washington
• Nylasia Mattocks
• Brittany Caylin Mattox-Markley

• Family Nurse Practitioner in New Bern, NC
• Providers in New Bern, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.