Capresha Mattocks-Washington

Primary specialty

DriverTaxonomy code 172A00000X

License

29197494 Issued in NC

Practice address

1505 S Glenburnie Rd Ste M
New Bern, NC 28562-2632

Phone

(252) 229-4201

NPI assigned

Dec 18, 2024

Last updated

Dec 18, 2024By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1629885090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S GLENBURNIE RD STE M",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622632",
            "telephone_number": "252-229-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S GLENBURNIE RD STE M",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622632",
            "telephone_number": "252-229-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS-WASHINGTON",
        "first_name": "CAPRESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NC",
            "license": "29197494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher B Masters, PT
• Carrie D Matheny, BSN, RN
• Kelley J. Mathews, FNP
• Rebecca Christine Matlon, RD, LDN
• Farrah Matos
• Nylasia Mattocks
• Brittany Caylin Mattox-Markley
• Diego Nicolas Maurente, MD
• Maxim Habilitation Services, LLC
• Ronald B May, M.D.

• Driver in New Bern, NC
• Providers in New Bern, NC by specialty
• Driver in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.