MATRIX MEDICAL NETWORK
NPI 1659679900
Nurse Practitioner in East Berlin, CT

Q: What is Regional Physician Services Connecticut PC's specialty?

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

Active since March 10, 2011

1224 MILL ST BLDG B, EAST BERLIN, CT 06023(480) 862-1677(480) 718-7643 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2019, Sep 18, 2018, Jul 17, 2018 and 1 more (4 updates tracked since 2016).

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About Matrix Medical Network NPPES

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

MATRIX MEDICAL NETWORK (NPI 1659679900) is a healthcare organization registered as a nurse practitioner in East Berlin, Connecticut and active in the NPI registry since March 2011. The organization lists Victoria Alvarez, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1659679900

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameREGIONAL PHYSICIAN SERVICES CONNECTICUT PC

Location Address1224 MILL ST BLDG BEast Berlin, CT 06023-1159

Mailing Address9201 E Mountain View Rd, Suite 220Scottsdale, AZ 85258 · (480) 862-1700 · Fax (480) 907-1537

Phone(480) 862-1677

Fax(480) 718-7643

Organization SubpartYesParent: Community Care Health Network Inc

Authorized OfficialVictoria AlvarezDirector, Credentialing · (480) 862-1695

Enumeration DateMarch 10, 2011

Last NPPES UpdateDecember 10, 20194 updates tracked since enumeration

✔ NPI 1659679900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

1224 MILL ST BLDG B, East Berlin, CT 06023

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Other Names 1

Doing Business AsMatrix Medical Network

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. KENDELL LAMONTE COKER PH.D., J.D.

Psychologist

1224 MILL ST BLDG B, STRAUN HEALTH AND WELLNESS
EAST BERLIN, CT 06023

Capitol Planning Region (860) 756-0455

MOUNTAIN LAUREL MENTAL HEALTH LLC

Marriage & Family Therapist