Individual provider Active NPI

Sharon Matlock, APN CNM

  • Advanced Practice Midwife
  • Chicago, IL
National Provider Identifier
1740222140
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209001095 Issued in IL
Practice address
3525 S Michigan Ave
Near South Health Center
Chicago, IL 60653-1019
Phone
(312) 945-4048
Fax
(312) 945-4088
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209001095 IL Primary

Addresses

Primary practice location

3525 S Michigan Ave
Near South Health Center
Chicago, IL 60653-1019

Mailing address

3525S Michigan Ave
Chicago, IL 60653-1019
Phone (312) 945-4048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smatlock@direct.ccprovider.org Direct Cook County

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209001095ILMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: smatlock@direct.ccprovider.org

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1740222140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531019",
            "telephone_number": "312-945-4048",
            "fax_number": "312-945-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S MICHIGAN AVE",
            "address_2": "NEAR SOUTH HEALTH CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531019",
            "telephone_number": "312-945-4048",
            "fax_number": "312-945-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "APN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209001095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smatlock@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.