KANMONY MATHEW ACNPC-AG NPI 1124491618

NPI Information

  • NPI: 1124491618
  • Provider Name: KANMONY MATHEW, ACNPC-AG
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17210 BLAND MILLS LN
    RICHMOND, TX
    ZIP 77407
  • Phone: (832) 454-7694

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NPI Details

Kanmony Mathew, ACNPC-AG is an acute care nurse practitioner in Richmond, TX with 11 years of experience. Kanmony Mathew, ACNPC-AG NPI is 1124491618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17210 BLAND MILLS LN
RICHMOND, TX
ZIP 77407-718
Phone: (832) 454-7694

The NPI 1124491618 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/26/2015.

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
1363LA2100XNurse PractitionerAcute CareAP129286TEXASYes

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: 11/21/2025

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