Sheila Lynn Mathis, C.N.M.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024167746 Issued in VA

Practice address

608 Jackson St
Fredericksburg, VA 22401-5719

Phone

(540) 322-5947

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheila.mathis@vdh.virginia.gov

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

• Manassas Midwifery and Women'S Health Center

  • Medical Specialty Clinic/Center
  • Manassas, VA
  • NPI 1144559790

  Advanced Practice Midwife

  NPD Authorized official
• Manassas Midwifery and Women'S Health Center

  • Women's Health Nurse Practitioner
  • Manassas, VA
  • NPI 1770817504
  NPD Authorized official

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1760620892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32480 ZOAR RD",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082608",
            "telephone_number": "703-868-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015719",
            "telephone_number": "540-322-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 Key Commons Ct",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105300",
            "country_code": "US",
            "telephone_number": "703-330-3285",
            "fax_number": "703-330-3286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "SHEILA",
        "middle_name": "LYNN",
        "credential": "C.N.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024167746",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1014557",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "AC000592",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760620892",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1144559790",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheila.Mathis@vdh.virginia.gov",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "608 Jackson St",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224015719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen C Mathes, CRNA
• Christopher Mathews, LPC
• Mary Alexandra Mathews
• Davene Ann Mathis, LICSW
• Kyle Mathis, LCSW
• Lisa Ann Mathison, CRNA
• Cameo Matthews, LMT
• Harmony Matthews, CSAC-S
• Jericho Matthews, DC
• Lauren Matthews

• Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.