Katherine Matos, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007204 Issued in FL

Practice address

1355 S International Pkwy Ste 2451
Lake Mary, FL 32746-1696

Phone

(407) 250-3290

Fax

(407) 250-2922

NPI assigned

Jan 15, 2021

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Neurology & Neurodiagnostics LLC

  • Neurology Physician
  • Lake Mary, FL
  • NPI 1760882617
  NPD
• Florida Arthritis Center P L

  • Rheumatology Physician
  • Lake Mary, FL
  • NPI 1649396037
  NPD (past)
• Neel R. Patel, M.D., PLC

  • Cardiovascular Disease Physician
  • Maitland, FL
  • NPI 1497051890
  NPD (past)

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1609465459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 BULLION LOOP",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715804",
            "telephone_number": "484-358-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY STE 2451",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461696",
            "telephone_number": "407-250-3290",
            "fax_number": "407-250-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Brian Masters, D.C.
• Cindy Mateo Suero, APRN
• Logan Mathews
• Tyneisha Inez Mathews
• Bethany Sue Mathis
• Deane Gail Matthew, MA, LMHC
• Tiffany R Matthews, LMT
• John Mauriello, M.D.
• Ciara Maxfield
• Maxine Minto MD P.a.

• Family Nurse Practitioner in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.