Individual provider Active NPI

Vicky Mathwig, M.D.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1730336058
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47287 Issued in CO
Practice address
2754 Compass Dr Ste 377
Grand Junction, CO 81506-8723
Phone
(970) 241-2212
Fax
(970) 257-2401
NPI assigned
Aug 19, 2008
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47287 CO Primary

Addresses

Primary practice location

2754 Compass Dr Ste 377
Grand Junction, CO 81506-8723

Mailing address

2754 Compass Dr Ste 377
Grand Junction, CO 81506-8723
Phone (970) 241-2212

Other names 1

  • Vicky Labrecque Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47287COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Hospital and Medical Center, Inc Family Medicine Past Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vicky.mathwig.1@33201.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1730336058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 COMPASS DR STE 377",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068723",
            "telephone_number": "970-241-2212",
            "fax_number": "970-257-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 COMPASS DR STE 377",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068723",
            "telephone_number": "970-241-2212",
            "fax_number": "970-257-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHWIG",
        "first_name": "VICKY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "47287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "LABRECQUE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.