Jodi Lynn Mathis

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6 Adams St
Kingston, NY 12401-6012

Phone

(845) 324-1209

NPI assigned

May 23, 2018

Last updated

May 23, 2018By 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)

Not enrolled

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1801387196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S FARRELLY ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013050",
            "telephone_number": "845-217-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ADAMS ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016012",
            "telephone_number": "845-324-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Nani Marzano, RD
• Frank Anthony Maschio, DDS
• Carol Masloski, LMHC
• Theresa Shanley Massimi
• Ann Mathew
• Mutombo J.C Matungulu, RPH
• Carolyn Kurtz Mayer, MS/PT
• Thomas V Mazzilli, MD
• Timothy George McArdle, LMT
• Janet McBride, LCSW-R

• Peer Specialist in Kingston, NY
• Providers in Kingston, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.