Active NPI
Kevin James Matthewson, AGACNP-BC
- Acute Care Nurse Practitioner
- Houston, TX
National Provider Identifier
1780294397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP145644
- Practice address
- 2002 Holcombe Blvd
Houston, TX 77030-4211 - Phone
- (936) 689-3951
- NPI assigned
- Aug 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP145644 | TX | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
Houston, TX 77030-4211
Mailing address
29611 N Legends Bend LN
Spring, TX 77386-2019
Phone (936) 689-3951
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kevin.matthewson@va.gov | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP145644 | TX | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- kevin.matthewson@va.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1780294397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29611 N LEGENDS BEND LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773862019",
"telephone_number": "936-689-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "936-689-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWSON",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP145644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kevin.matthewson@va.gov",
"affiliation": "N",
"endpointDescription": "Work account",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2002 Holcombe Blvd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770304211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.