Fatima Gabriela Arabia Matamoros

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.034674 Issued in IL

Practice address

2023 Vadalabene Dr Ste 151
Maryville, IL 62062-5845

Phone

(618) 624-2060

NPI assigned

Mar 24, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Allergy, Asthma & Immunology Center SC

  • Allergy & Immunology Physician
  • Shiloh, IL
  • NPI 1184829210

  Single Specialty

  NPD

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1235077660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 GARONNE DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215655",
            "telephone_number": "314-783-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VADALABENE DR STE 151",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625845",
            "telephone_number": "618-624-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARABIA MATAMOROS",
        "first_name": "FATIMA",
        "middle_name": "GABRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.034674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sue Anderson, ANP, FNP-BC
• Anna Marie Anderson, LCPC
• Albert G. Andrews, LCPC
• Ann LK Millikin, LCPC
• Louis Aquino, DPM
• Paige Arendt, CRNA
• Syed M Arshad, MD
• Associated Physicians Group LTD
• Kimberly Ann Astrauskas, APRN
• Au Well Care Home Inc

• Family Nurse Practitioner in Maryville, IL
• Providers in Maryville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.