DAVIKA MATTOX PMHNP RECOVERY AND WELLNESS BEHAVIORAL HEALTH (NPI# 1033601992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033601992 |
| Entity Type | Organization |
| Organization Name | DAVIKA MATTOX PMHNP RECOVERY AND WELLNESS BEHAVIORAL HEALTH |
| Practice Address |
3208 Polo Club Blvd Lexington KY 40509-8454 |
| Practice Telephone | 8594322168 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | DAVIKA MATTOX (OWNER) |
| Authorized Official Telephone | 8594322168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3208 POLO CLUB BLVD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-8454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1831722115 | Free To Be Mental Health Services, LLC | Nurse Practitioner | 2035 Regency Rd Ste 8, Lexington, KY 40503-2333 | 2020-02-15 |
| 1265075238 | Colleen Turner | Nurse Practitioner | 3150 Custer Dr Ste 201, Lexington, KY 40517-4010 | 2019-10-23 |
| 1124672126 | Sheila Young Steinbrenner | Nurse Practitioner | 238 Rosemont Gdn, Lexington, KY 40503-1845 | 2019-07-29 |
| 1194207910 | Ljks | Nurse Practitioner | 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 | 2018-08-29 |
| 1881172823 | Kayla Kouns | Nurse Practitioner | 1030 Monarch Street Suite 100, Lexington, KY 40513-1820 | 2018-08-01 |
| 1265935159 | Holly Melissa Lewis | Nurse Practitioner | 4766 Sunset Blvd Ste A, Lexington, SC 29072-9252 | 2018-03-16 |
| 1225546690 | Latoya Bo'nee Lee | Nurse Practitioner | 161 Prosperous Pl Ste 100, Lexington, KY 40509-1898 | 2018-01-18 |
| 1659660470 | Christine Marie Dalton | Nurse Practitioner | 501 Darby Creek Rd Ste 11, Lexington, KY 40509-1605 | 2011-04-01 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on DAVIKA MATTOX PMHNP RECOVERY AND WELLNESS BEHAVIORAL HEALTH.
| 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.