Kevin M. Matthews, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14068067

Practice address

10 E College Ave Ste 300
Appleton, WI 54911-5759

Phone

(920) 707-3158

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1740783893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E VISTA RIDGE MALL DR APT 5424",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E COLLEGE AVE STE 300",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115759",
            "telephone_number": "920-707-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "14068067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "112011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOSCIATION",
            "identifier": "14068067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karrie Elizabeth Matejka, MS, CCC-SLP
• Nancy Matelski
• Jane S Mathen, DDS
• Christopher E Matt, DC
• Ashley A Mattek, LPC
• Greg E. Matz, P.T.
• Kammye Mareen Matz, PT, CLT-LANA
• Bryton Maupin
• Cassandra Maurer, PT, DPT
• Lyndsey S Maves, PA-C

• Speech-Language Pathologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.