Active NPI
Cristy M Mathews, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Hattiesburg, MS
National Provider Identifier
1992200950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 5914 U S Highway 49 Ste 30
Hattiesburg, MS 39401-7567 - Phone
- (160) 188-4063
- NPI assigned
- Mar 29, 2018
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | MS | Primary |
Addresses
Primary practice location
5914 U S Highway 49 Ste 30
Hattiesburg, MS 39401-7567
Mailing address
5914 U S Highway 49
Suite 30
Hattiesburg, MS 39401-7567
Phone (601) 884-0632
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1992200950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5914 U S HIGHWAY 49",
"address_2": "SUITE 30",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017567",
"telephone_number": "601-884-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5914 U S HIGHWAY 49 STE 30",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017567",
"telephone_number": "160-188-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "CRISTY",
"middle_name": "M",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.