Ruth Michelle Matkin, DOM, RN
Individual provider Active NPI Acupuncturist · Los Ranchos, NM
NPI 1134423874 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1134423874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1050 (NM)
- Practice address
- 7120 4TH St NW
Los Ranchos, NM 87107-6642 - Phone
- (505) 899-7095
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R49349 | NM | MD | General Practice Registered Nurse |
| 1050 | NM | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | R49349 | NM | |
| Acupuncturist | 171100000X | 1050 | NM | Yes |
Addresses
Primary practice location
7120 4TH St NW
Los Ranchos, NM 87107-6642
Mailing address
7120 4TH St NW
Los Ranchos, NM 87107-6642
Phone (505) 899-7095
Other providers in Los Ranchos, NM
- Steven Malins
- Andrea E Maloney
- Gabriella Martinez-Moreno
- Tammy Ann Martinez
- Tiffany Garcia Martinez
- Margaret McIntyre Matteucci
- Mary E McGuiggin
- Med Sesh LLC
- Charles Dion Miller
- Daniel Joseph Mintie
All providers in Los Ranchos, NM · Acupuncturist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.