Kathleen J Matthews, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

407 Issued in AK

Practice address

491 N Knik St
Wasilla, AK 99654-7049

Phone

(907) 376-9500

Fax

(907) 376-9507

NPI assigned

Jul 24, 2006

Last updated

Jul 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Achieve Medical Alaska LLCGroup PAC ID 1951730183, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.matthews.1@18773.direct.athenahealth.com
• Direct secure messaging: kathleen.matthews.p1@direct.sokya.nextgenshare.com

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.

• Achieve Medical Alaska LLC

  • Medical Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1922648690
  Medicare reassignment Care Compare group NPD
• TMS Center of Alaska LLC

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1114454808
  Medicare reassignment NPD
• Providence Health & Services - Washington

  dba Providence Medical Group Alaska

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1538254347
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1407878259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547049",
            "telephone_number": "907-376-9500",
            "fax_number": "907-376-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547049",
            "telephone_number": "907-376-9500",
            "fax_number": "907-376-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "407",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "AK",
            "license": "407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt a. Heilala, DPM Inc. (Alaska Foot & Ankle Specialists)
• Matthew a Monaco DDS,LLC (Meridian Park Oral Surgery)
• Amanda Joan Matthews
• John David Matthews, RN
• Junayzha Annemarie Pamela Matthews
• Arianna Mattila
• Alexis Mattson
• Keyona Mattson, LMT
• Danica Maugatai
• Mary Maupin

• Family Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.

Verify at the official NPI Registry.