CHEYENNE MICHELLE MATYAC
NPI 1386536704
Nurse Practitioner in Cloverdale, CA

Q: What is Cheyenne Matyac's NPI number?

The NPI number for Cheyenne Matyac is 1386536704. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Q: What is Cheyenne Matyac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cheyenne Matyac was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 18, 2025

6 TARMAN DR, CLOVERDALE, CA 95425(707) 894-4229 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cheyenne Michelle Matyac NPPES

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

CHEYENNE MICHELLE MATYAC (NPI 1386536704) is an individual nurse practitioner in Cloverdale, California, licensed in California (95035942) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1386536704

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHEYENNE MICHELLE MATYAC

Location Address6 TARMAN DRCloverdale, CA 95425-3932

Mailing Address19526 Eagle Ridge RdForesthill, CA 95631-9702 · (530) 320-8830

Phone(707) 894-4229

Sole ProprietorYes

Enumeration DateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1386536704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95035942

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6 TARMAN DR, Cloverdale, CA 95425

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Other Providers at the Same Location NPPES 16

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

COPPERTOWER FAMILY MEDICAL CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))