Individual provider Active NPI

Yaminah Matthews, APRN

  • Family Nurse Practitioner
  • Waxahachie, TX
National Provider Identifier
1346679842
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133794 Issued in TX
Practice address
1007 Legacy Ranch Rd Ste 102
Waxahachie, TX 75165-1294
Phone
(972) 666-8111
Fax
(949) 437-8422
NPI assigned
Nov 5, 2013
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC001233 MD
Family Nurse Practitioner 363LF0000X 5006882 NC
Nurse Practitioner 363L00000X AP133794 TX
Family Nurse Practitioner 363LF0000X AP133794 TX Primary

Addresses

Primary practice location

1007 Legacy Ranch Rd Ste 102
Waxahachie, TX 75165-1294

Mailing address

651 Bandera Dr
Waxahachie, TX 75167-1244
Phone (336) 341-9295

Other practice location 1

1757 Broad Park Cir N Ste 201
Mansfield, TX 76063-7839
Phone (817) 806-1130

Other names 1

  • Yaminah Matthews Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427001453 TX Practitioner - Nurse Practitioner 3375771629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1007 Legacy Ranch Rd
Suite 102
Waxahachie, TX 75165-1294
Phone (972) 666-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP133794TXMDNurse Practitioner
AC001233MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Salem Family Health Clinic PLLC Family CurrentSince Nov 1, 2022 Accepting new patients

Locations

1007 Legacy Ranch Rd
Ste 102
Waxahachie, TX 75165
Phone (972) 645-3350

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1346679842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BANDERA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751671244",
            "telephone_number": "336-341-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LEGACY RANCH RD STE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651294",
            "telephone_number": "972-666-8111",
            "fax_number": "949-437-8422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1757 Broad Park Cir N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637839",
            "country_code": "US",
            "telephone_number": "817-806-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "YAMINAH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133794",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMINAH",
            "last_name": "MATTHEWS",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.