Individual provider Active NPI

Tonya Charlene Matson, ARNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1861593162
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0044651 Issued in OK
Practice address
6922 S Western Ave
Suite 101
Oklahoma City, OK 73139-1803
Phone
(405) 631-0483
Fax
(405) 632-4588
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0044651 OK Primary

Addresses

Primary practice location

6922 S Western Ave
Suite 101
Oklahoma City, OK 73139-1803

Mailing address

6922 S Western Ave
Suite 101
Oklahoma City, OK 73139-1803
Phone (405) 631-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000421 OK Practitioner - Nurse Practitioner 1355340308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0044651OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Nurse Practitioner CurrentSince Oct 1, 2006 Accepting new patients
Family Health Care & Minor Emergency Clinic Inc Past Accepting new patients
Neighborhood Family Clinic & Minor Past Accepting new patients
Fhcokc, Inc Past Accepting new patients

Locations

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

6922 S Western Ave
Ste 101
Oklahoma City, OK 73139
Phone (405) 631-0483

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1861593162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 S WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391803",
            "telephone_number": "405-631-0483",
            "fax_number": "405-632-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 S WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391803",
            "telephone_number": "405-631-0483",
            "fax_number": "405-632-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "TONYA",
        "middle_name": "CHARLENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0044651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.