Matrix Wellness Solutions

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN0013215 Issued in TN

Legal business name

MATRIX WELLNESS SOLUTIONS

Practice address

384 Carriage House Dr Ste D
Suite D
Jackson, TN 38305-2268

Phone

(731) 256-2006

Fax

(731) 256-2007

NPI assigned

Jan 12, 2012

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Brian Hughes, GNPNPI 1144490467

Title

C0-Owner

Phone

(731) 571-8808

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Brian Hughes, RN GNP-BC

  • Gerontology Nurse Practitioner
  • Dyersburg, TN
  • NPI 1144490467
  NPD (past) Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1699046235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 CARRIAGE HOUSE DR STE D",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052268",
            "telephone_number": "731-256-2006",
            "fax_number": "731-256-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 CARRIAGE HOUSE DR STE D",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052268",
            "telephone_number": "731-256-2006",
            "fax_number": "731-256-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "C0-OWNER",
        "authorized_official_telephone_number": "731-571-8808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "GNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0013215",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN 007296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Masters, PTA
• Ashley Nichole Mathes, LCSW
• Joshua Mathis, PHARMD
• Nora Mathis, PT
• Raymond Douglas Mathis, D.PH.
• Chloe Meriwether Mauney, DDS, MDS
• Ida Marie Maxie, CASE MANAGER
• Maxim Healthcare Services, Inc
• Diane Maxwell, NP
• Christopher Lee May, APN

• Gerontology Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.