Active NPI
Matt Workman
- Behavior Analyst
- Nashville, TN
National Provider Identifier
1699149526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA0000174
- Practice address
- 804A Knox Ave
Nashville, TN 37204-2618 - Phone
- (615) 491-3543
- NPI assigned
- Nov 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA0000174 | TN | Primary |
Addresses
Primary practice location
804A Knox Ave
Nashville, TN 37204-2618
Mailing address
804 A Knox Avenue
Nashville, TN 37204
Phone (615) 491-3543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA0000174 | Other | TN | DIVISION OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA0000174 | TN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1699149526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 A KNOX AVENUE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37204",
"telephone_number": "615-491-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804A KNOX AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042618",
"telephone_number": "615-491-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKMAN",
"first_name": "MATT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "BA0000174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES",
"identifier": "BA0000174",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.