Robyn Yuki Matsumoto, CHW, CRM

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

105265 Issued in OR

Practice address

1195A City View St
Eugene, OR 97402-3325

Phone

(541) 342-5088

NPI assigned

Jun 6, 2022

Last updated

Mar 6, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• HIV Alliance

  dba Alliance for Community Wellness

  • Case Management Agency
  • Eugene, OR
  • NPI 1295134708
  NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1356070379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195A CITY VIEW ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023325",
            "telephone_number": "541-342-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195A CITY VIEW ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023325",
            "telephone_number": "541-342-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "ROBYN",
        "middle_name": "YUKI",
        "credential": "CHW, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "105265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500810498",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Mathis
• Debra Yvonne Mathis
• Matlock Dental LLC
• Krysta Matsen
• Norman Matson, CRNA
• Travis Matsumoto, PA
• Matt W Anderson DDS PC
• Brooke Kathleen Matteo, AUD
• Michael Matteo, PT
• Sara Matteri

• Community Health Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.