Kelley Deming Mathis, RN
Individual provider Active NPI Emergency Registered Nurse · Andrews, TX
NPI 1437969748 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1437969748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 804014 (TX)
- Practice address
- 720 Hospital Dr
Andrews, TX 79714-3617 - Phone
- (432) 464-2200
- Fax
- (432) 464-2177
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804014 | TX | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 804014 | TX | |
| Emergency Registered Nurse | 163WE0003X | 804014 | TX | Yes |
Addresses
Primary practice location
720 Hospital Dr
Andrews, TX 79714-3617
Mailing address
720 Hospital Dr
Andrews, TX 79714-3617
Phone (432) 464-2200
Other names
- Kelley Marie Deming
Other providers in Andrews, TX
- Jessica J Logan
- Logovita, PLLC
- Shanda Kristen Lyle
- James Dale Martin
- Raithel Jean Martin
- Gordon Patrick Mattimoe
- Mazzy Medical
- Debra Lynne McCullough
- Medical Park Pharmacy, Inc
- Mekason Pharmacy Odessa, Inc
All providers in Andrews, TX · Emergency Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.