Individual provider Active NPI

Matthew John Garred, ARNP

  • Family Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1659986594
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A159881 Issued in IA
Practice address
420 Driftwood CT
Sioux City, IA 51104-2200
Phone
(712) 420-0542
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A159881 IA Primary

Addresses

Primary practice location

420 Driftwood CT
Sioux City, IA 51104-2200

Mailing address

420 Driftwood CT
Sioux City, IA 51104-2200
Phone (712) 420-0542

Medicare participation

Medicare enrollment files
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.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A159881IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burgess Health Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1659986594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DRIFTWOOD CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042200",
            "telephone_number": "712-420-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DRIFTWOOD CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042200",
            "telephone_number": "712-420-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRED",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A159881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.