Callie Margaret Matinchek

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

License

XXXXX Issued in AR

Practice address

1 Childrens Way
Little Rock, AR 72202-3500

Phone

(501) 364-1370

NPI assigned

Dec 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1821867409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 S BOWMAN RD APT 1033",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114685",
            "telephone_number": "870-251-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATINCHEK",
        "first_name": "CALLIE",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "AR",
            "license": "216416",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "AR",
            "license": "XXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Miller Mathews, MD
• Nickiles Dale Mathews
• Madeline Clare Arthur Mathis, PHARM. D.
• Nathan Mathis
• Tonina Services Mathis
• Christian Michael Casson Matishak, MD
• Alex Elaine Matlock, APRN
• David Neil Matlock Jr., MD
• Kellee Matlock, CRNA
• Shelby Elizabeth Matros

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.