Kathy A Matsen

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

Practice address

651 Woodpecker LN
Forks, WA 98331-9256

Phone

(253) 851-0116

NPI assigned

Jan 3, 2021

Sex

Female

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

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1831787167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983310872",
            "telephone_number": "253-851-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WOODPECKER LN",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319256",
            "telephone_number": "253-851-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSEN",
        "first_name": "KATHY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lee
• Shantell Lee Leinan, LMT
• Tytti Sinikka Lilja-Williams
• Lisa Ann Martinez
• Jay D Matsen
• Debra Kay McIntyre, BA
• Beverly Lavon McNeil, PAC
• Jessica Lee Mishler
• Reece Moody
• Kevin Ray Mooney

• All providers in Forks, WA
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.