Active NPI
Anna Matney
- Registered Nurse
- Green Springs, OH
National Provider Identifier
1790372860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.510415
- Practice address
- 430 N Broadway St
Green Springs, OH 44836-9734 - Phone
- (844) 534-3638
- Fax
- (567) 686-1412
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.510415 | OH | Primary |
Addresses
Primary practice location
430 N Broadway St
Green Springs, OH 44836-9734
Mailing address
430 N Broadway St
Green Springs, OH 44836-9734
Phone (844) 534-3638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
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 |
|---|---|---|---|
| RN.510415 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1790372860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N BROADWAY ST",
"city": "GREEN SPRINGS",
"state": "OH",
"postal_code": "448369734",
"telephone_number": "844-534-3638",
"fax_number": "567-686-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N BROADWAY ST",
"city": "GREEN SPRINGS",
"state": "OH",
"postal_code": "448369734",
"telephone_number": "844-534-3638",
"fax_number": "567-686-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATNEY",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.510415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Springs, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.