Marilyn Marcia Matthews, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

375061 Issued in CA

Practice address

5001 W Avenue N
Lancaster, CA 93536-2989

Phone

(661) 722-5892

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Lancaster, CA
  • NPI 1720211824
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1780307694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44747 RUTHRON AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361431",
            "telephone_number": "661-952-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W AVENUE N",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362989",
            "telephone_number": "661-722-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MARILYN",
        "middle_name": "MARCIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "375061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deseray Mata
• Matthew Phillip Mata
• Pedro Mateo
• Richard Daniel Mathews, PH.D. IN RELIGION
• Arron Matthews Sr.
• Nicole Matthews
• Tadra A Matthews
• Crystal Mattson
• Maxicare Senior Home, LLC
• Maximum Palliative Care and Hospice, Inc.

• Registered Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.