Individual provider Active NPI

Barbara J Deets-Mathews, PNP

  • Pediatric Nurse Practitioner
  • Cary, NC
National Provider Identifier
1942336680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28089 Issued in NC
Practice address
940 SE Cary Parkway
Suite 200
Cary, NC 27518-7417
Phone
(919) 858-4925
Fax
(919) 859-6595
NPI assigned
Feb 26, 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
Pediatric Nurse Practitioner 363LP0200X 28089 NC Primary

Addresses

Primary practice location

940 SE Cary Parkway
Suite 200
Cary, NC 27518-7417

Mailing address

940 Cary Parkway SE
Suite 200
Cary, NC 27518-7417
Phone (919) 858-4925

Other names 1

  • Barbara J Mathews Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250102000279 VA Practitioner - Nurse Practitioner 9830626936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28089NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC Current Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Nov 1, 2024 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Nov 1, 2024 Accepting new patients
DLP Twin County Physician Practices LLC Past Accepting new patients
Western Wake Pediatrics, PA Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

606 E Stuart Dr
Galax, VA 24333
Phone (276) 236-8166

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Organizations & group practices 5

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942336680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CARY PARKWAY SE",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187417",
            "telephone_number": "919-858-4925",
            "fax_number": "919-859-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SE CARY PARKWAY",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187417",
            "telephone_number": "919-858-4925",
            "fax_number": "919-859-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETS-MATHEWS",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "28089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MATHEWS",
            "middle_name": "J",
            "credential": "PNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.