Grace Elaine Matthews, RN, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP002008C Issued in PA

Practice address

201 Pine Bluff Rd Ste 2521801
Salisbury, MD 21801-7163

Phone

(215) 432-1884

NPI assigned

May 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1972713618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MISTY MOUNTAIN RD # 3504",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024049",
            "telephone_number": "215-432-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD STE 2521801",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "215-432-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "GRACE",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP002008C",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024168260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matclinic Physicians Practice Group LLC
• Nimmy Mathew
• Donald Wayne Mathis
• Margaret Eileen Matlack, PH.D.
• Monserrat Abigail Matos, LCSW-C
• Kristina Marie Matthews, PA-C
• Joy Maulik, CRNP
• Maxim Healthcare Services, Inc.
• Karini A Maximoss, CRNM
• Kathleen P. Maycock, LCSW-C

• Adult Health Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.