MATTHEW STEVEN RICH MSN RN AGCNS-BC NPI 1639692965

NPI Information

NPI: 1639692965
Provider Name: MATTHEW STEVEN RICH, MSN, RN, AGCNS-BC
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3220 DUVAL RD APT 2716
AUSTIN, TX
ZIP 78759
Phone: (480) 242-7129
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Matthew Steven Rich, MSN, RN, AGCNS-BC is a gerontology clinical nurse specialist in Austin, TX with 7 years of experience. Matthew Steven Rich, MSN, RN, AGCNS-BC NPI is 1639692965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3220 DUVAL RD APT 2716
AUSTIN, TX
ZIP 78759-533
Phone: (480) 242-7129

The NPI 1639692965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		880140	TEXAS	No
2	364SG0600X	Clinical Nurse Specialist	Gerontology	AP134553	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	381371901	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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