Keri J Jones Matheus, W.H.N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R850667 Issued in MS

Practice address

45 Sugar Sand Lane
Suite a
Santa Rosa Beach, FL 32459-7482

Phone

(850) 534-4170

Fax

(850) 534-4174

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Nitin Bawa, PA

  • Internal Medicine Physician
  • Destin, FL
  • NPI 1588846257
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1083687586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SUGAR SAND LANE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597482",
            "telephone_number": "850-534-4170",
            "fax_number": "850-534-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SUGAR SAND LANE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597482",
            "telephone_number": "850-534-4170",
            "fax_number": "850-534-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES MATHEUS",
        "first_name": "KERI",
        "middle_name": "J",
        "credential": "W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R850667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03752321",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Holland Jenkins
• John Boden MD LLC
• Ariel Johnson
• Erin D Johnson, NP-C
• Kayla Johnson
• Journey Bravely
• Lauren Karesh, CNP
• Jodi Kellett
• Kristine Kester, PNP
• Kenneth E Knowles, RN

• Women's Health Nurse Practitioner in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.