Matilda Behnke-Cheatham, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

AK 6546 Issued in AK

Practice address

3830 S Cushman St
Fairbanks, AK 99701-7530

Phone

(907) 455-1575

NPI assigned

Apr 23, 2010

Last updated

Apr 23, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1427375971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 12TH AVE",
            "address_2": "APT#4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015012",
            "telephone_number": "907-374-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017530",
            "telephone_number": "907-455-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNKE-CHEATHAM",
        "first_name": "MATILDA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "AK 6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Beckford
• Bernice Charlene Beddoe
• Amanda Bedford
• Thomas Bedford
• Brandee Beers
• Dorothy Ella Bekoalok
• Lisa Marie Belcher, RPH
• Lenamarie Ann Belgarde
• Amber Lynn Bell
• Julia Bell

• Licensed Practical Nurse in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Licensed Practical Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.