Active NPI
Paula Elaine Matthew, LM CPM
- Midwife
- Prescott, AZ
National Provider Identifier
1407067341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 062
- Practice address
- 715 Ruth St
Prescott, AZ 86301 - Phone
- (928) 776-8033
- Fax
- (928) 776-4038
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 97050005 | ||
| Midwife | 176B00000X | 062 | AZ | Primary |
Addresses
Primary practice location
715 Ruth St
Prescott, AZ 86301
Mailing address
PO Box 103
Skull Valley, AZ 86338
Phone (928) 776-8033
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
| License | State | Type | Specialty |
|---|---|---|---|
| 062 | AZ | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407067341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "SKULL VALLEY",
"state": "AZ",
"postal_code": "86338",
"telephone_number": "928-776-8033",
"fax_number": "928-776-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 RUTH ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "928-776-8033",
"fax_number": "928-776-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEW",
"first_name": "PAULA",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "LM CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": "97050005",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.