Individual provider Active NPI

Beatrice Joel Matika

  • Home Health Aide
  • Montgomery Village, MD
National Provider Identifier
1306194063
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
18225 Lost Knife Cir Apt 102
Montgomery Village, MD 20886-4222
Phone
(202) 529-6510
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

18225 Lost Knife Cir Apt 102
Montgomery Village, MD 20886-4222

Mailing address

18225 Lost Knife Cir Apt 102
Montgomery Village, MD 20886-4222
Phone (202) 529-6510

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

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1306194063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 LOST KNIFE CIR APT 102",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864222",
            "telephone_number": "202-529-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 LOST KNIFE CIR APT 102",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864222",
            "telephone_number": "202-529-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIKA",
        "first_name": "BEATRICE",
        "middle_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.