Individual provider Active NPI

Matthew Roberts, ARNP

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1942903141
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP61418887 Issued in WA
Practice address
220 E Rowan Ave Ste 150
Spokane, WA 99207-2244
Phone
(509) 483-4060
NPI assigned
Mar 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP61418887 WA Primary

Addresses

Primary practice location

220 E Rowan Ave Ste 150
Spokane, WA 99207-2244

Mailing address

3417 E 13TH Ave
Spokane, WA 99202-5406
Phone (406) 529-2690

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61418887WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Spokane Pediatrics, PLLC CurrentSince Mar 26, 2023 Accepting new patients

Locations

220 E Rowan Ave
Ste 150
Spokane, WA 99207
Phone (509) 483-4060

Organizations & group practices 1

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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1942903141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 E 13TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025406",
            "telephone_number": "406-529-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 150",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072244",
            "telephone_number": "509-483-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MATTHEW",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP61418887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.