Mary Lee Matulis, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0993534-NP Issued in CO

Practice address

2767 W Riverwalk Cir Unit Q
Littleton, CO 80123-7102

Phone

(309) 645-4971

NPI assigned

Nov 17, 2017

Last updated

Dec 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1265946891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 W RIVERWALK CIR UNIT Q",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237102",
            "telephone_number": "309-645-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 W RIVERWALK CIR UNIT Q",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237102",
            "telephone_number": "309-645-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULIS",
        "first_name": "MARY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993534-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Mattes, OTR
• Breck Marie Matteson, RN BSN IBCLC
• Isabelle Matteucci
• Matthew C. Kenney Chiropractor, Inc. (New Body Chiropractic and Wellness Center)
• Steven G. Matthews, MS, RMT
• Nicole Matyas, PMHNP
• Amanda Marie Matz, DNP
• Laura Mauger, LCSW
• Casey A Maurio, MOT, OTR
• Robert D Mauro, MD

• Family Nurse Practitioner in Littleton, CO
• Providers in Littleton, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.