Denise Matlock, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

5734 N 65TH St
Milwaukee, WI 53218-2329

Phone

(414) 534-1493

Fax

(419) 828-6586

NPI assigned

Jul 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1679763379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 N 65TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182329",
            "telephone_number": "414-534-1493",
            "fax_number": "419-828-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 N 65TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182329",
            "telephone_number": "414-534-1493",
            "fax_number": "419-828-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39970600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raman Mathur, DO
• Nicholas Mathy
• Nicole Mathy
• Megan E Maticek, MD
• Haley-Marie J Matijevich, BCBA, LBA
• Hani S Matloub, MD
• Sara Haitham Matloub
• Elizabeth Anna Matola, MSW, APSW
• Grace Marie Matoska
• Thomas Matoska, BS

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.