Individual provider Active NPI

Phyllis Adams Mathews, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1215137369
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
0024167255 Issued in VA
Practice address
724. South Mason St.
Harrisonburg, VA 22807
Phone
(540) 568-6178
Fax
(540) 568-6176
NPI assigned
Jul 18, 2007
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024167255 VA Primary

Addresses

Primary practice location

724. South Mason St.
Harrisonburg, VA 22807

Mailing address

724 South Mason St
MSC 7901
Harrisonburg, VA 22807
Phone (540) 568-6178

Other names 1

  • Phyllis Elaine Munn Other 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

State licenses

LicenseStateTypeSpecialty
0024167255VAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James Madison University Health Center PastSince Nov 17, 2019 Accepting new patients
James Madison University PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1215137369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 SOUTH MASON ST",
            "address_2": "MSC 7901",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22807",
            "telephone_number": "540-568-6178",
            "fax_number": "540-568-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724. SOUTH MASON ST.",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22807",
            "telephone_number": "540-568-6178",
            "fax_number": "540-568-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "PHYLLIS",
        "middle_name": "ADAMS",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024167255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "MUNN",
            "middle_name": "ELAINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.