Jennie Mathew

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34728 Issued in TX

Practice address

1000 N Preston Rd Ste 20
Prosper, TX 75078-8891

Phone

(469) 296-8030

Fax

(888) 851-4582

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prosper Pediatrics PLLC

  • Primary Care Clinic/Center
  • Prosper, TX
  • NPI 1720488646
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1386093672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N PRESTON RD STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788891",
            "telephone_number": "469-296-8030",
            "fax_number": "888-851-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N PRESTON RD STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788891",
            "telephone_number": "469-296-8030",
            "fax_number": "888-851-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JENNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "34728",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT211153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navasha Martin
• Sarah Martin, M.S., CCC-SLP
• Gabriel Martinez
• Ashley Masse
• Jessica Nicole Massey, RN
• Matthew Charles Matson, DPT
• Christie E Matter, MD
• Jarrad Clark Matthews, DPT
• My Phuong Pham Matthews, D.D.S
• Nicholas Matthews, DPT

• Pediatrics Physician in Prosper, TX
• Providers in Prosper, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.