Dominic Matthews, REGISTERED NURSE

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN9399546 Issued in FL

Practice address

278 Lasalle Lefall Dr
Quincy, FL 32351-5324

Phone

(850) 519-4569

Fax

(850) 743-6034

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1851044390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515324",
            "telephone_number": "850-519-4569",
            "fax_number": "850-743-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515324",
            "telephone_number": "850-519-4569",
            "fax_number": "850-743-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "DOMINIC",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9399546",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9399546",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9399546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dominic.Matthews@flhealth.gov",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "278 LaSalle Lefall Dr",
            "city": "Quincy",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323515324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Mathews Services LLC
• Phaedra Yamean Mashburn-Olomo, OTR/L
• Massey Drugs Inc
• Linda B Massey, RPH
• Maryanne Mathews, LPN
• Emery Mayne, RBT
• Mary Lynette McCarthy
• Lawanda Lashon McGhee Rollins
• Dawn McGriff
• Priscilla McGriff

• Administrator Registered Nurse in Quincy, FL
• Providers in Quincy, FL by specialty
• Administrator Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.