Individual provider Active NPI

Chelsea L Matley, RN, CCP

  • Home Health Registered Nurse
  • Hartland, WI
National Provider Identifier
1174984884
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
222983 Issued in WI
Practice address
N46W28576 Willow Brook CT
Hartland, WI 53029-2290
Phone
(262) 505-0920
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 222983 WI
Home Health Registered Nurse 163WH0200X 222983 WI Primary

Addresses

Primary practice location

N46W28576 Willow Brook CT
Hartland, WI 53029-2290

Mailing address

N46W28576 Willow Brook CT
Hartland, WI 53029-2290
Phone (262) 505-0920

Other practice location 1

1005 Tower Hill Dr
Brookfield, WI 53045-6704
Phone (262) 505-0920

Other practice location 2

9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone (414) 955-6900

Other names 1

  • Chelsea L Becker Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
222983WIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1174984884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N46W28576 WILLOW BROOK CT",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292290",
            "telephone_number": "262-505-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N46W28576 WILLOW BROOK CT",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292290",
            "telephone_number": "262-505-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Tower Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530456704",
            "country_code": "US",
            "telephone_number": "262-505-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-955-6900",
            "fax_number": "414-955-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLEY",
        "first_name": "CHELSEA",
        "middle_name": "L",
        "credential": "RN, CCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WI",
            "license": "222983",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "222983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BECKER",
            "middle_name": "L",
            "credential": "RN, CCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.