Matilde Vinoya Dela Cruz, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-106864 Issued in AL

Practice address

2692 US Highway 431
Boaz, AL 35957-5845

Phone

(256) 558-6000

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Matilde Dela Cruz Somosot Former name

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Go Medical Corporation, PCGroup PAC ID 0648534982, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Go Medical Corporation PC

  dba Go Medical

  • Internal Medicine Physician
  • Boaz, AL
  • NPI 1073027876
  Medicare reassignment Care Compare group NPD
• Go Medical Corporation PC

  • Family Medicine Physician
  • Boaz, AL
  • NPI 1861224123
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1699387191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CAMBRIDGE LN",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066604",
            "telephone_number": "256-393-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575845",
            "telephone_number": "256-558-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "MATILDE",
        "middle_name": "VINOYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-106864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATILDE",
            "last_name": "SOMOSOT",
            "middle_name": "DELA CRUZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Nicole Colquitt, CRNP
• Davis Spine and Sport Recovery LLC
• Connor Lee Davis
• Mark A. Davis, O.D.
• Kyle Dean
• Kristen Delauney, AU.D.
• Diversicare of Boaz, LLC (Diversicare of Boaz)
• Thomas Watson Downes III, M.D.
• Dr. Anna L Davis & Associates, LLC
• Drayer Physical Therapy Alabama LLC

• Family Nurse Practitioner in Boaz, AL
• Providers in Boaz, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.