Amanda Lashay Mathis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L049677 Issued in AR

Practice address

3100 Apache Dr
Jonesboro, AR 72401-7404

Phone

(870) 333-5437

NPI assigned

Oct 17, 2018

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Step Arkansas, LLC

  • Early Intervention Provider Agency
  • Jonesboro, AR
  • NPI 1164957080
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1982170908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017404",
            "telephone_number": "870-333-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017404",
            "telephone_number": "870-333-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "AMANDA",
        "middle_name": "LASHAY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L049677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Masterson, OTD, OTR/L
• Frannie Michele Matheney I, LAC
• Kelsey Briana Matheney, CNP
• Linda Lee Matheson, RN
• Christy N Mathis-Conway, MSW
• Cherrilyn Matson, MS, OTR/L
• Elizabeth Rhodes Matters
• Brody Matthews
• Jessica Matthews, NP-C FNP-C
• Sarah Lynn Matthews, MHPP

• All providers in Jonesboro, AR
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.