Lisa Mattox, CRNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-087962 Issued in AL

Practice address

3500 Clairmont Ave S Apt G19
Birmingham, AL 35222-3548

Phone

(205) 937-6196

NPI assigned

Apr 2, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1972182509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 RICHARD ARRINGTON JR BLVD S APT 415",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332161",
            "telephone_number": "205-937-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CLAIRMONT AVE S APT G19",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223548",
            "telephone_number": "205-937-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-087962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Wheeler Matthews III, D.M.D
• Laurel Elizabeth Matthews
• Sara Matthews
• Christina Harrison Mattison, CRNP
• Donney Dwayne Mattox
• Rebekah Marie Mattson, CRNP
• Kyle Mauk, DPM
• Clara Y Mauldin
• Julie Elise Mauldin
• Kimball Ivan Maull, MD

• Registered Nurse in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.