Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Dianne Matakis, CPM

Individual provider Midwife · NPI 1366084600

Taylor Dianne Matakis, CPM is a Midwife in Faribault, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Texas.

Licensed in
MN, TX
In the registry since
2019
Specialties on file
2

Practice location Address checks out

20 12th St NE
Faribault, MN 55021-3812
Phone: (254) 290-7702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 1082 (MN)
Midwife Taxonomy 176B00000X · Licence 99386 (TX)

Record details

NPI number1366084600
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPM
Sole proprietorYes
NPI enumeratedOctober 8, 2019
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020