Monica R Mathis, OPENING ADULT DAY

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

License

00000000 Issued in MO

Practice address

9601 E Truman Rd
Independence, MO 64052-2165

Phone

(816) 749-9460

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

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

Other names 1

• Monica R Mathis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Wisdom Adult Daycare LLC

  dba Wisdom Adult Daycare

  • Respite Care Camp
  • Independence, MO
  • NPI 1033833488
  NPD Authorized official

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1932823648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 E TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522165",
            "telephone_number": "816-749-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 E TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522165",
            "telephone_number": "816-749-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "MONICA",
        "middle_name": "R",
        "credential": "OPENING ADULT DAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MO",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MATHIS",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Martinez, CNM
• James B Marx, DO
• Shelby Massey, DO
• Sierra Mathews
• Thomas Mathews, D.O.
• Matt's RX,LLC (Matt's Medicine Store)
• Samantha Mattheis, CPNP
• John A Mattoni Jr., M.D.
• Rhonda Catherine Mattson, MOTR/L, CHT
• Aaliyah Maurice

• Respite Care in Independence, MO
• Providers in Independence, MO by specialty
• Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.