Active NPI
Courtney Laine Matyja, AU.D.
- Audiologist
- Conway, AR
National Provider Identifier
1962560995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 284
- Practice address
- 855 S German LN Ste 2
Conway, AR 72034-6479 - Phone
- (501) 205-1215
- Fax
- (501) 205-1250
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1918 | TN | |
| Audiologist | 231H00000X | 284 | AR | Primary |
Addresses
Primary practice location
855 S German LN Ste 2
Conway, AR 72034-6479
Mailing address
855 S German LN
Conway, AR 72034-6334
Phone (501) 205-1215
Other practice location 1
8000 Highway 107 Ste 1
Sherwood, AR 72120-5204
Phone (501) 819-0665
Other practice location 2
6401 Poplar Ave Ste 302
Memphis, TN 38119-4823
Phone (901) 726-0044
Other practice location 3
11219 Financial Centre Pkwy Ste 260
Little Rock, AR 72211-3882
Phone (501) 621-8250
Other names 1
- Courtney L Wallis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1918 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Injoy Hearing LLC | Audiologist | Past | Accepting new patients |
| Central Arkansas Hearing, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hearing and Speech Clinic/Center
- Sherwood, AR
- NPI 1780148445
-
- Audiologist
- Overland Park, KS
- NPI 1346953130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1962560995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 S GERMAN LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346334",
"telephone_number": "501-205-1215",
"fax_number": "501-205-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 S GERMAN LN STE 2",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346479",
"telephone_number": "501-205-1215",
"fax_number": "501-205-1250"
}
],
"practiceLocations": [
{
"address_1": "8000 Highway 107 Ste 1",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "AR",
"postal_code": "721205204",
"country_code": "US",
"telephone_number": "501-819-0665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6401 Poplar Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381194823",
"country_code": "US",
"telephone_number": "901-726-0044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11219 Financial Centre Pkwy Ste 260",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722113882",
"country_code": "US",
"telephone_number": "501-621-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATYJA",
"first_name": "COURTNEY",
"middle_name": "LAINE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1918",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "WALLIS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.