MATTHEW RATHBUN (NPI# 1679194989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679194989 |
| Entity Type | Individual |
| Full Name | MATTHEW RATHBUN |
| Credential | LAC |
| Practice Address |
551 S Holland Ln Wichita KS 67209-2007 |
| Practice Telephone | 3162601618 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1585 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239667 | Matthew David Rathbun | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2020-09-11 |
| 1396247763 | Matthew John Rathbun | Nurse Anesthetist, Certified Registered | 1800 Orleans St, Baltimore, MD 21287 | 2018-03-01 |
| 1649660614 | Matthew Rathbun | Licensed Practical Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2015-01-29 |
| Street Address |
551 S HOLLAND LN |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387219 | Robert Dean Cochran | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168064 | Katherine Fibert | Counselor | 9019 W 10th St N # W10th, Wichita, KS 67212-4020 | 2020-03-12 |
| 1275011462 | Tag Treatment Center LLC | Counselor | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2018-07-31 |
| 1538675137 | Karmeleta Burnett | Counselor | 2201 E 13th St N Ste E, Wichita, KS 67214-1903 | 2017-12-18 |
| 1477072627 | H. Wayne Simpson | Counselor | 3835 W Douglas Ave, Wichita, KS 67213-2408 | 2017-09-19 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1548709520 | Lorna Rae Stoecklein | Counselor | 1337 N Meridian Ave Ste 5, Wichita, KS 67203-4641 | 2017-02-23 |
| 1871037481 | Chelsea Ajuka Anukam | Counselor | 801 E Douglas Ave Fl 2, Wichita, KS 67202-3548 | 2016-12-15 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.