Deborah J Mattheus, PHD, MSN, PNP, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN 1011 Issued in HI

Practice address

45-710 Kamehameha Hwy
Kaneohe, HI 96744-2947

Phone

(808) 247-6644

NPI assigned

Jul 18, 2005

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1619976115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HAHAIONE ST",
            "address_2": "12L",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-710 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442947",
            "telephone_number": "808-247-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEUS",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "PHD, MSN, PNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "APRN 1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marimed Foundation for Island Health Care Training
• Serenity Martin
• Lindsey Taylor Martinez
• Travis Michael Masutani, LCSW
• Robin Izumi Matsukawa, M.D.
• Daryl Matthews, MD PHD
• Martin E Matthews, LMHC
• Angelique Matutino, LMFT
• Maulihiwa Wellness, LLC
• Rachel Mazuch

• Pediatric Nurse Practitioner in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Pediatric Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.