Genevieve R. Matulin, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024177676 Issued in VA

Practice address

14319 Jeffries PL
Midlothian, VA 23114-4359

Phone

(804) 364-3923

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: genevieve.matulin@hca6.eclinicaldirectplus.com

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1487214508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "address_2": "1201 SYCAMORE SQUARE DR.",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-364-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14319 JEFFRIES PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144359",
            "telephone_number": "804-364-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULIN",
        "first_name": "GENEVIEVE",
        "middle_name": "R.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Matovich, PSYD
• Courtney Owen Mattes, D.P.T.
• Matthew W Stafford DDS, PC
• Keith Anthony Matthews
• Sandra Mattos
• Antonio Mauri, D.D.S.
• Kayla May
• Kendall L Mayfield, LCSW
• Robert E. Mayfield, MD
• Dianne Carter Mays

• Family Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.