Peggy Jean Mathis, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

519582 Issued in TX

Practice address

4520 E Central Texas Expy
Ste 101
Killeen, TX 76543-5626

Phone

(254) 200-9355

NPI assigned

Mar 11, 2013

Last updated

May 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1790026128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 E CENTRAL TEXAS EXPY",
            "address_2": "STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435626",
            "telephone_number": "254-200-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 E CENTRAL TEXAS EXPY",
            "address_2": "STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435626",
            "telephone_number": "254-200-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "PEGGY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "519582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille D Masters
• Jose Manuel Mata III, MA, LMFT-A
• Kane Benjamin Mata
• Paul Mathew, M.D.
• Nia Mathis
• Sarah Mathis, OTR
• Mariela Lisvette Matos Rodriguez
• Megan Matos, SLP
• Matthew Williams, PHD PLLC
• Chelsea A Matthews, LPC

• Family Nurse Practitioner in Killeen, TX
• Providers in Killeen, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.