Individual provider Active NPI

Melissa Matus

  • Midwife
  • Bedford, TX
National Provider Identifier
1780035196
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99385 Issued in TX
Practice address
904 Charleston Dr
Bedford, TX 76022-7604
Phone
(318) 218-6199
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99385 TX Primary

Addresses

Primary practice location

904 Charleston Dr
Bedford, TX 76022-7604

Mailing address

904 Charleston Dr
Bedford, TX 76022-7604
Phone (318) 218-6199

Other practice location 1

1709 Medina Dr
Mesquite, TX 75150-1393
Phone (318) 218-6199

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99385TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1780035196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CHARLESTON DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227604",
            "telephone_number": "318-218-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CHARLESTON DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227604",
            "telephone_number": "318-218-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Medina Dr",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751501393",
            "country_code": "US",
            "telephone_number": "318-218-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUS",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

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