Holly Matthews

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10372796-4405 Issued in UT

Practice address

57 N 775 E
Tremonton, UT 84337-4103

Phone

(435) 915-6262

Fax

(435) 201-8200

NPI assigned

Apr 15, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miller Medical Inc

  • Family Medicine Physician
  • Tremonton, UT
  • NPI 1871240580
  Medicare reassignment NPD
• Cache Valley Ear Nose & Throat, PLLC

  dba Cache Valley Ear Nose and Throat.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • North Logan, UT
  • NPI 1548303795
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1619721958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N 775 E",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843374103",
            "telephone_number": "435-915-6262",
            "fax_number": "435-201-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10372796-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "13072796-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Kottsick, FNP
• Camron David Kowallis, D.C.
• Mylie Raine Laing, CMP
• Scott Call Laws, RPH
• Kenneth Joe Lee
• Jessica McCulloch, FNP-C
• Cathy McMullen, LCSW
• Zackary Chase McMurdie, PHARMACIST (RPHD)
• Chad L Merrell, M.D.
• Rodney W Merrell, M.D.

• Family Nurse Practitioner in Tremonton, UT
• Providers in Tremonton, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.