Matthew Kirk Garrison

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

51282 Issued in HI

Practice address

1585 3Rd St
Fort Polk, LA 71459-5102

Phone

(337) 353-2465

NPI assigned

Mar 4, 2016

Sex

Male

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

State licenses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1801256649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 LIONS CAMP RD",
            "city": "ANACOCO",
            "state": "LA",
            "postal_code": "714033215",
            "telephone_number": "417-983-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-353-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "MATTHEW",
        "middle_name": "KIRK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "51282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Fitzpatrick, PHYSICIAN ASSISTANT
• Douglas Foote
• Alleyn Emory Friedrich Sr., MD
• Devin Robert Gaines, DO
• Micahel B Gallagher, PSY.D.
• Patricia A. Gates, LCSW
• Kevin Alan Goke, APRN
• Jerry W Gostnell II, CRNA
• Gregory Erskine Grant, M.D.
• Jeffrey Douglas Grow, M.D.

• Family Nurse Practitioner in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.