GWENDOLYN MATHIS DNP-APRN NPI 1194183137

NPI Information

  • NPI: 1194183137
  • Provider Name: GWENDOLYN MATHIS, DNP-APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 325 NORTH DR STE 3100
    DALLAS, TX
    ZIP 75207
  • Phone: (802) 287-6030

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NPI Details

Gwendolyn Mathis, DNP-APRN is a family nurse practitioner in Dallas, TX with 11 years of experience. Gwendolyn Mathis, DNP-APRN NPI is 1194183137. 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:

325 NORTH DR STE 3100
DALLAS, TX
ZIP 75207-431
Phone: (802) 287-6030

The NPI 1194183137 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 2/5/2016 and was last updated on 10/29/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health834633NEW YORKNo
2363LF0000XNurse PractitionerFamily20988TENNESSEENo
3363LP0808XNurse PractitionerPsychiatric/Mental Health249010ARIZONANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health20988TENNESSEENo
5363LF0000XNurse PractitionerFamily1142764TEXASYes
6363L00000XNurse Practitioner20988TENNESSEENo
7363LP2300XNurse PractitionerPrimary CareF0116574TENNESSEENo

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
1093249MEDICAIDARIZONA

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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