Matt L Mueller

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

NONE Issued in WI

Practice address

812 Broughton Dr
Sheboygan, WI 53081-4115

Phone

(920) 451-8000

Fax

(920) 451-8019

NPI assigned

Mar 29, 2023

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Matt L Mueller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Sheboygan County Young Men's Christian Association, Inc.

  • Health Educator
  • Sheboygan, WI
  • NPI 1265989206
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1639873953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BROUGHTON DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814115",
            "telephone_number": "920-451-8000",
            "fax_number": "920-451-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BROUGHTON DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814115",
            "telephone_number": "920-451-8000",
            "fax_number": "920-451-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MATT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "WI",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "MUELLER",
            "middle_name": "L",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Leigh Mouw, M.S. CCC-SLP
• Charles Mowrer, PH.D.
• Brian L Muehlbauer, PT
• Kayla Mueller
• Kim Mueller
• Marsha Sue Muench, LPN
• Heather Diane Mulder, RDH
• Richard E Mulhern, RN CS ADULT NP
• Leah Ann Mullens, APNP-BC, PMH-NP
• Michelle Lynn Munoz, RN

• Health & Wellness Coach in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Health & Wellness Coach in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.