Individual provider Active NPI

Geraldine Oka Matsumura, PHD APRN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Farmington, UT
National Provider Identifier
1346341971
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
1890478900 Issued in UT
Practice address
117 West 200 South
Farmington, UT 84025-1036
Phone
(801) 451-4843
Fax
(801) 451-2839
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1890474405 UT
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 1890478900 UT Primary

Addresses

Primary practice location

117 West 200 South
Farmington, UT 84025-1036

Mailing address

PO Box 1036
117 West 200 South
Farmington, UT 84025-1036
Phone (801) 451-4843

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1890474405UTMDRegistered Nurse
1890478900UTMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dybreak Behavioral Healthcare Past Accepting new patients
Davis Behavioral Health Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346341971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "address_2": "117 WEST 200 SOUTH",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840251036",
            "telephone_number": "801-451-4843",
            "fax_number": "801-451-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST 200 SOUTH",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840251036",
            "telephone_number": "801-451-4843",
            "fax_number": "801-451-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMURA",
        "first_name": "GERALDINE",
        "middle_name": "OKA",
        "name_prefix": "Dr.",
        "credential": "PHD APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "1890474405",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "1890478900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.