Chelsea Matthew, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1700 Fulton Rd
Santa Rosa, CA 95403-1899

Phone

(707) 890-3840

NPI assigned

Sep 1, 2010

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

Other identifiers 1

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1477860146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 E TESCH AVE",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532354765",
            "telephone_number": "920-212-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 FULTON RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031899",
            "telephone_number": "707-890-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Spring St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051667",
            "country_code": "US",
            "telephone_number": "262-687-5866",
            "fax_number": "262-687-5895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "CHELSEA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1305-39",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "1305-39",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Andre Mathis
• Kathy Matonak, AU.D.
• Kent M Matsuda, M.D.
• Linda Kaye Matteson
• Matthew R. Anderson, DMD, MSD, Inc
• Ayshia Indianne Matthews
• Chandra Matthews, R.D., C.D.E.
• Shakeara Oneasha Matthews, ASW
• Tyler Andrew Matthews, AMFT
• Christopher Robert Matthies

• Athletic Trainer in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.