Stacey Lynn Matheny, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1022832 Issued in TX

Practice address

910 E Houston St
Tyler, TX 75702-8369

Phone

(903) 606-8718

NPI assigned

Jan 20, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1457066607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 OXFORD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035137",
            "telephone_number": "903-646-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028369",
            "telephone_number": "903-606-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENY",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1022832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stacey.matheny@christushealth.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "8302 Oxford Dr",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757035137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ivie Massie, LVN
• Stefani R. Masten, OT
• Masvida Health Care Solutions, LLC
• Maternal Mental Health of East Texas
• Roneisa Matero, NP
• Jennifer Annisa Mathew, DO
• Sherry Mathew, PHARMD
• Jaimie Leigh Mathews
• Brook Mathis, LPC
• Rhonda F Mathis, ACNP

• Registered Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.