Laura Matjasich, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5673235-4405 Issued in UT

Practice address

1505 Madrona St N BLDG 1200
Twin Falls, ID 83301-8334

Phone

(208) 886-0774

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1265849350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MADRONA ST N BLDG 1200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018334",
            "telephone_number": "208-886-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MADRONA ST N BLDG 1200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018334",
            "telephone_number": "208-886-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATJASICH",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5673235-4405",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "55385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "55-385",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "5673235-4405",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Marzolf, M.D.
• Steven Lee Maschek, CNP
• Bryan C. Mason, MD
• Jennifer-Leigh Mason, LCSW
• Michael Massaro, DO
• Hayley Matthews
• Monica Matthews
• Mary Mavencamp, LPN
• Jeannene Maxfield, SLP
• Lisa A Maxwell, PHARMD

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.