Active NPI
Yaminah Matthews, APRN
- Family Nurse Practitioner
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP133794
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP133794 | TX | MD | Nurse Practitioner |
| AC001233 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Salem Family Health Clinic PLLC | Family | Current | 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.
-
- Family Medicine Physician
- Waxahachie, TX
- NPI 1760119440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.