Alex Elaine Matlock, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A006101 Issued in AR

Practice address

6 Shackleford Dr
Little Rock, AR 72211-2858

Phone

(501) 500-5001

NPI assigned

Feb 23, 2019

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: alex.matlock.p1@direct.chiarthritis.nextgenshare.com

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1114484417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHACKLEFORD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112858",
            "telephone_number": "501-500-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHACKLEFORD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112858",
            "telephone_number": "501-500-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Springhill Dr Ste 2040",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172922",
            "country_code": "US",
            "telephone_number": "501-500-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "ALEX",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A006101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS CERTIFIED NURSE PRACTITIONER",
            "identifier": "A006101",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Clare Arthur Mathis, PHARM. D.
• Nathan Mathis
• Tonina Services Mathis
• Callie Margaret Matinchek
• Christian Michael Casson Matishak, MD
• David Neil Matlock Jr., MD
• Kellee Matlock, CRNA
• Shelby Elizabeth Matros
• Matthew Bridwell DDS PA
• Amber Nicole Matthews, MSN, APN, FNP

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.