Individual provider Active NPI

Cindi Matull, CST-FA

  • Licensed Vocational Nurse
  • New Braunfels, TX
National Provider Identifier
1821367038
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
131963 Issued in TX
Practice address
598 N Union Ave
Suite 300
New Braunfels, TX 78130-4136
Phone
(830) 627-7979
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 131963 TX Primary

Addresses

Primary practice location

598 N Union Ave
Suite 300
New Braunfels, TX 78130-4136

Mailing address

2055 Carlisle Castle Dr
New Braunfels, TX 78130-3078
Phone (830) 627-7979

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

LicenseStateTypeSpecialty
131963TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1821367038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CARLISLE CASTLE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303078",
            "telephone_number": "830-627-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 300",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304136",
            "telephone_number": "830-627-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULL",
        "first_name": "CINDI",
        "credential": "CST-FA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "131963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.