Individual provider Active NPI

Cathy N Mattox, RN,MSN,MBA

  • Case Management Registered Nurse
  • Rocky Mount, VA
National Provider Identifier
1518226653
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
00001170205 Issued in VA
Practice address
284 McNeil Mill Rd
Rocky Mount, VA 24151-3504
Phone
(540) 819-8346
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 00001170205 VA Primary
Community Health Registered Nurse 163WC1500X 00001170205 VA

Addresses

Primary practice location

284 McNeil Mill Rd
Rocky Mount, VA 24151-3504

Mailing address

PO Box 2146
Rocky Mount, VA 24151-8446
Phone (540) 420-4299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
00001170205VAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Consultant Services LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1518226653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2146",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241518446",
            "telephone_number": "540-420-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MCNEIL MILL RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241513504",
            "telephone_number": "540-819-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "CATHY",
        "middle_name": "N",
        "credential": "RN,MSN,MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "00001170205",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "VA",
            "license": "00001170205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.