Nicole Mathews, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS23696 Issued in FL

Practice address

2200 16TH St N
St Petersburg, FL 33704-3106

Phone

(321) 841-3900

Fax

(321) 843-6075

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1972208817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043106",
            "telephone_number": "321-841-3900",
            "fax_number": "321-843-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043106",
            "telephone_number": "321-841-3900",
            "fax_number": "321-843-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 16th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337043106",
            "country_code": "US",
            "telephone_number": "813-780-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044220",
            "country_code": "US",
            "telephone_number": "336-716-4479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS23696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132021900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Management Inc
• Mathew Management Inc
• Gretchen Mathews, BCBA
• Jessica S. Mathews, ARNP
• Karen Taylor Mathews
• Kristin Mathre, LMFT
• Nicole Lorraine Matias-Bado, CRNA
• Jessica Ray Matkin, CRNA
• Albert Matos, MD
• Maria Matos

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.