Anna Tatira Mataruka, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20481 Issued in SC

Practice address

1147 Ebenezer Rd
Rock Hill, SC 29732-2355

Phone

(803) 329-6648

Fax

(803) 985-4134

NPI assigned

Sep 22, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CH Specialty Services SC LLC

  • Family Nurse Practitioner
  • North Charleston, SC
  • NPI 1275915522
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD
• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678

  NC

  Medicare reassignment NPD
• Curana Health of North Carolina PLLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1770217176
  Medicare reassignment NPD
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment NPD
• Andrea Hope Speech Pathology LLC

  • Speech-Language Pathologist
  • Rock Hill, SC
  • NPI 1942568829
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1497204119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322355",
            "telephone_number": "803-329-6648",
            "fax_number": "803-985-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322355",
            "telephone_number": "803-329-6648",
            "fax_number": "803-985-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARUKA",
        "first_name": "ANNA",
        "middle_name": "TATIRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet F Martini, LPC
• Melissa D Mason
• Ayesha Ta-Mira Massey
• Jamesha Maria Massey
• Michelle Marie Matarese, PA-C
• Karissa Matos
• Matrix Rehabilitation-South Carolina, Inc.
• Megan Matsil
• Chad Michael Matson, M.A.
• Matthew L. Hubis DMD, PA

• Family Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.