Active NPI
Deepa Mathew, MSN, FNP-C
- Family Nurse Practitioner
- West Chester, OH
National Provider Identifier
1144643719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.15361-NP
- Practice address
- 7345 Kingsgate Way
West Chester, OH 45069-2453 - Phone
- (513) 777-1333
- NPI assigned
- Feb 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.15361-NP | OH | Primary |
Addresses
Primary practice location
7345 Kingsgate Way
West Chester, OH 45069-2453
Mailing address
7345 Kingsgate Way
West Chester, OH 45069-2453
Phone (513) 777-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928000754 | OH | Order and Referring Only - Nurse Practitioner | 1355565961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15361-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391212800000",
"number": "1144643719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 KINGSGATE WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692453",
"telephone_number": "513-777-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 KINGSGATE WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692453",
"telephone_number": "513-777-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "DEEPA",
"credential": "MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-01",
"last_updated": "2014-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.15361-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; 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.