Matrix Lifecare Center Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MATRIX LIFECARE CENTER INC.

Doing business as

Bravely Women's Health

Practice address

938 Mezzanine Dr Ste B
Lafayette, IN 47905-8641

Phone

(765) 742-1533

Fax

(765) 742-1824

NPI assigned

Oct 12, 2022

Organization subpart

No

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

Authorized official

Name

Jonni Miller, RN

Title

Nurse Manager

Phone

(765) 742-1533

Specialties & licenses 1

Addresses

Other names 1

• Bravely Women's Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1851017784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 MEZZANINE DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058641",
            "telephone_number": "765-742-1533",
            "fax_number": "765-742-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 MEZZANINE DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058641",
            "telephone_number": "765-742-1533",
            "fax_number": "765-742-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX LIFECARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JONNI",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "765-742-1533",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravely Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J Masters, CRNA
• Steven Charles Mather, OD
• Elizabeth Alice Matheson, LCSW
• Kerri Mathew
• Bethany Mathison
• McKinzie Matson, RBT
• Jerome L Mattern, LCSW, LMHC,CRC,CCM
• Stephen J Matthews, MD
• Mattingly Center for Sight LLC
• Mattingly Center for Sight LLC

• Obstetrics & Gynecology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.