Active NPI
Cathy N Mattox, RN,MSN,MBA
- Case Management Registered Nurse
- Rocky Mount, VA
National Provider Identifier
1518226653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 00001170205
- Practice address
- 284 McNeil Mill Rd
Rocky Mount, VA 24151-3504 - Phone
- (540) 819-8346
- NPI assigned
- May 10, 2012
- Last updated
- May 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00001170205 | VA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- In Home Supportive Care Agency
- Rocky Mount, VA
- NPI 1265842215
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.