Matrix Medical Network of Texas LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MATRIX MEDICAL NETWORK OF TEXAS LLC

Practice address

4545 E Shea Blvd
Suite 175
Phoenix, AZ 85028-3074

Phone

(602) 464-5200

Fax

(480) 907-2108

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Linda Leola Bivins

Title

Office Manager

Phone

(602) 464-5251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1598080822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "602-464-5200",
            "fax_number": "480-907-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "602-464-5200",
            "fax_number": "480-907-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MEDICAL NETWORK OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "BIVINS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEOLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-464-5251"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Management LLC
• Matrix Medical Data Processing LLC
• Matrix Medical Data Processing LLC
• Matrix Medical Data Processing LLC
• Matrix Medical Network of Idaho, L.L.C
• Christine Marie Matschke, PSYD, LP
• Andrea Dawn Matson, BS
• Jeffrey A Matson, MD
• Stacey Matson, AU.D.
• Tadashi Matsuhisa, DC

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.