Grace Blas Matus, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60063583 Issued in WA

Practice address

98216 E Sidibe PR SE
Kennewick, WA 99338-0009

Phone

(509) 588-7017

Fax

(509) 588-7017

NPI assigned

Dec 3, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• A.J.a.N Afh LLC

  • Adult Care Home Facility
  • Kennewick, WA
  • NPI 1790656593
  NPD Authorized official
• Priority Home Health LLC

  • Home Health Agency
  • Kennewick, WA
  • NPI 1568027712
  NPD Authorized official
• Priority Home Health LLC

  • Registered Nurse
  • Kennewick, WA
  • NPI 1568073278
  NPD Authorized official

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1609346642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98216 E SIDIBE PR SE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993380009",
            "telephone_number": "509-588-7017",
            "fax_number": "509-588-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98216 E SIDIBE PR SE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993380009",
            "telephone_number": "509-588-7017",
            "fax_number": "509-588-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAS MATUS",
        "first_name": "GRACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60063583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Blanchard, PA-C
• Alicia Liliana Blanco
• Valissa Blanco
• Chad Blankenship, PT
• Sonshine Blankenship
• Jason M Bleazard, O.D.
• Jason Bliss, CPC
• Victoria Bliss
• Amy Lynn Bloom, LMHC
• Allison Board

• All providers in Kennewick, WA
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.