Active NPI
Arline Matkins, RN
- Registered Nurse
- Kingston, PA
National Provider Identifier
1679696173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN506059L
- Practice address
- 562 Wyoming Ave
Kingston, PA 18704-3721 - Phone
- (570) 552-3740
- Fax
- (570) 552-3743
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN506059L | PA | Primary |
Addresses
Primary practice location
562 Wyoming Ave
Kingston, PA 18704-3721
Mailing address
562 Wyoming Ave
Kingston, PA 18704-3721
Phone (570) 552-3740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015954660001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN506059L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679696173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043721",
"telephone_number": "570-552-3740",
"fax_number": "570-552-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043721",
"telephone_number": "570-552-3740",
"fax_number": "570-552-3743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATKINS",
"first_name": "ARLINE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN506059L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015954660001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.