Active NPI
Carmelesha Angelette Matthewson, C.HAIRLOSSPECIALIST
- Specialist
- Knightdale, NC
National Provider Identifier
1982040606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C21106
- Practice address
- 1908 Village Squire Cir
Knightdale, NC 27545-5951 - Phone
- (919) 914-1814
- NPI assigned
- May 21, 2013
- Last updated
- May 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C21106 | NC | Primary |
Addresses
Primary practice location
1908 Village Squire Cir
Knightdale, NC 27545-5951
Mailing address
P.O. Box 944
Knightdale, NC 27545
Phone (919) 914-1814
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C21106 | NC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1982040606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 944",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "27545",
"telephone_number": "919-914-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 VILLAGE SQUIRE CIR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275455951",
"telephone_number": "919-914-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWSON",
"first_name": "CARMELESHA",
"middle_name": "ANGELETTE",
"name_prefix": "Ms.",
"credential": "C.HAIRLOSSPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "C21106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.