SHAWN MATHERLY RN
NPI 1104132323
Registered Nurse in Fort Leonard Wood, MO

Q: What is Shawn Matherly's NPI number?

The NPI number for Shawn Matherly is 1104132323. It was assigned to this individual provider in the NPPES registry on August 25, 2010. The provider is also known as Shawn Matherly Rn.

Q: What is Shawn Matherly's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Matherly was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2010

4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-0440(573) 329-0879 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawn Matherly Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN MATHERLY RN (NPI 1104132323) is an individual registered nurse in Fort Leonard Wood, Missouri, licensed in Missouri (154938) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1104132323

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameSHAWN MATHERLYCredential: RN

Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098

Mailing Address4430 Missouri AveFort Leonard Wood, MO 65473-9098 · (573) 596-0440 · Fax (573) 329-0879

Phone(573) 596-0440

Fax(573) 329-0879

Sole ProprietorNo

Enumeration DateAugust 25, 2010

Last NPPES UpdateFebruary 20, 2025

NPPES CertifiedFebruary 20, 2025

✔ NPI 1104132323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MO · 154938

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4430 MISSOURI AVE, Fort Leonard Wood, MO 65473

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Other Names 1

Professional Name (2)Shawn Matherly Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON-MARC THIBODEAU PA-C

Physician Assistant