Kelsey Briana Matheney, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A004916 Issued in AR

Practice address

201 E Oak Ave
Jonesboro, AR 72401-4163

Phone

(870) 935-6729

NPI assigned

Oct 5, 2016

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1982154720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 PHILLIPS DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502546",
            "telephone_number": "870-212-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OAK AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014163",
            "telephone_number": "870-935-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENEY",
        "first_name": "KELSEY",
        "middle_name": "BRIANA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lee Massey Wagner, DDS
• Abigail F Massey
• Cassandra Massey, CRNA
• Sadie Masterson, OTD, OTR/L
• Frannie Michele Matheney I, LAC
• Linda Lee Matheson, RN
• Christy N Mathis-Conway, MSW
• Amanda Lashay Mathis, LPN
• Cherrilyn Matson, MS, OTR/L
• Elizabeth Rhodes Matters

• All providers in Jonesboro, AR
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.