Active NPI
Matthew Vazquez, HEALTH EDUCATOR
- Health Educator
- Lubbock, TX
National Provider Identifier
1790370401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 4510 Ironton Ave Apt 2106
Lubbock, TX 79407-3781 - Phone
- (714) 679-2751
- NPI assigned
- Mar 4, 2021
- Last updated
- Mar 4, 2021
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | NU | Primary |
Addresses
Primary practice location
4510 Ironton Ave Apt 2106
Lubbock, TX 79407-3781
Mailing address
4510 Ironton Ave Apt 2106
Lubbock, TX 79407-3781
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Text-based | Yes Health Inc. |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yes Health Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nutrition Education Nutritionist
- Sausalito, CA
- NPI 1215424734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1790370401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 IRONTON AVE APT 2106",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 IRONTON AVE APT 2106",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073781",
"telephone_number": "714-679-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "MATTHEW",
"credential": "HEALTH EDUCATOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Text-based",
"affiliation": "Y",
"affiliationName": "Yes Health Inc.",
"address_1": "1001 Bridgeway Ste A3",
"city": "Sausalito",
"state": "CA",
"country_code": "US",
"postal_code": "949652158",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.