Matrix Medical Network of Arkansas PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MATRIX MEDICAL NETWORK OF ARKANSAS PA

Practice address

609 SW 8TH St Ste 600
Bentonville, AR 72712-8706

Phone

(480) 862-1677

Fax

(480) 718-7643

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Alexis Megeath

Title

VP, Strategic Operations

Phone

(480) 356-0885

Specialties & licenses 1

Addresses

Other names 1

• Matrix Medical Network Doing business as

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1073868451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "SUITE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585199",
            "telephone_number": "480-862-1700",
            "fax_number": "877-506-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SW 8TH ST STE 600",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128706",
            "telephone_number": "480-862-1677",
            "fax_number": "480-718-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MEDICAL NETWORK OF ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "MEGEATH",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "VP, STRATEGIC OPERATIONS",
        "authorized_official_telephone_number": "480-356-0885"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Medical Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Master, PA-C
• Andria Mata
• Kembra Lea Mathis, ATC
• Jason Stanley Matkowski, LAC
• Emily Paige Matlock
• Angel Michelle Mattes, DOULA, LE, CPST
• Aaron Lee Matthews Sr., LPC
• Madeline Matthews
• Dennis J Mauro, D.M.D.
• Brittany Marie Mavity

• Nurse Practitioner in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.