Individual provider Active NPI

Eden Lovone Matheson, RN COMMUNITY HEALTH

  • Community Health Registered Nurse
  • Mountain City, TN
National Provider Identifier
1851430706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0000141565 Issued in TN
Practice address
715 W Main St
Mountain City, TN 37683-1217
Phone
(423) 727-9731
Fax
(423) 727-4153
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000141565 TN Primary

Addresses

Primary practice location

715 W Main St
Mountain City, TN 37683-1217

Mailing address

PO Box 235
Laurel Bloomery, TN 37680-0235
Phone (423) 727-9731

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000141565TNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee Past Accepting new patients
State of Tennessee Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851430706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "LAUREL BLOOMERY",
            "state": "TN",
            "postal_code": "376800235",
            "telephone_number": "423-727-9731",
            "fax_number": "423-727-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831217",
            "telephone_number": "423-727-9731",
            "fax_number": "423-727-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "EDEN",
        "middle_name": "LOVONE",
        "credential": "RN COMMUNITY HEALTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000141565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.