Active NPI
Courtney Anne Matson, CNM
- Midwife
- Ukiah, CA
National Provider Identifier
1093950909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 1845
- Practice address
- 333 Laws Ave
Ukiah, CA 95482-6540 - Phone
- (707) 468-1010
- NPI assigned
- Dec 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 619070 | CA | |
| Midwife | 176B00000X | 1845 | CA | Primary |
Addresses
Primary practice location
333 Laws Ave
Ukiah, CA 95482-6540
Mailing address
333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 468-1010
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)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 619070 | CA | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1093950909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LAWS AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826540",
"telephone_number": "707-468-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAWS AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826540",
"telephone_number": "707-468-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "COURTNEY",
"middle_name": "ANNE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CA",
"license": "619070",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "1845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.