Individual provider Active NPI

Abbey Matthews

  • Licensed Vocational Nurse
  • Woodward, OK
National Provider Identifier
1376432468
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
L0071244 Issued in OK
Practice address
1000 Terra Dr
Woodward, OK 73801-9596
Phone
(580) 290-1810
NPI assigned
Jul 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X L0071244 OK Primary

Addresses

Primary practice location

1000 Terra Dr
Woodward, OK 73801-9596

Mailing address

1000 Terra Dr
Woodward, OK 73801-9596

Other names 1

  • Abbey Overholser Former name

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

State licenses

LicenseStateTypeSpecialty
L0071244OKMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive MD Ok LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

1000 Terra Dr
Woodward, OK 73801
Phone (580) 290-1810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1376432468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TERRA DR",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738019596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TERRA DR",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738019596",
            "telephone_number": "580-290-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ABBEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OK",
            "license": "L0071244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "OVERHOLSER",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.