KRISTEN LEE MATULIS (NPI# 1033767587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033767587 |
| Entity Type | Individual |
| Full Name | KRISTEN LEE MATULIS |
| Credential | DNP, CNP |
| Practice Address |
10150 Highland Manor Dr Ste 240 Tampa FL 33610-9750 |
| Mailing Address |
202 S Parker St Unit 547 Tampa FL 33606-2587 |
| Practice Telephone | 8132591013 |
| Mailing Telephone | 9729786478 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
11003829 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10150 HIGHLAND MANOR DR STE 240 |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809700 | James R. Cummings | Family Medicine | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2005-05-24 |
| 1548868862 | Irina Alexandrovna Vangelov | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2020-10-09 |
| 1619510849 | Heather Michelle Schlau | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-10-21 |
| 1255891313 | Sebastian Hayatyfar | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-03-23 |
| 1316405996 | Melissa Sue Carafelli | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-03-04 |
| 1861993818 | Courtney Marie Sweeting | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2018-02-26 |
| 1053841361 | Katie Thomas | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2017-06-19 |
| 1881133940 | Kandi Wood | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610 | 2017-02-21 |
| 1215388269 | Bluestone Physician Services Fl LLC | General Practice | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2016-06-30 |
| 1912382862 | Christina Risso | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1912510926 | Oneeka Green | Nurse Practitioner | 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 | 2020-08-28 |
| 1578193520 | Quankela Tillman | Nurse Practitioner | 2604 Lindell Ave, Tampa, FL 33610-7757 | 2020-01-17 |
| 1891272076 | Jehad Saleh | Nurse Practitioner | 317 E Hanlon St, Tampa, FL 33604-4130 | 2018-07-20 |
| 1003332313 | Gail Deanne Roth | Nurse Practitioner | 4604 Brownwood Ct, Tampa, FL 33624-1118 | 2017-08-17 |
| 1538697511 | Heather Hughes | Nurse Practitioner | 912 Channelside Dr Ste 2102, Tampa, FL 33602-4227 | 2017-06-02 |
| 1215353073 | Crystal Danae Van Dette | Nurse Practitioner | 2919w Swann Ave 102, Tampa, FL 33609-4049 | 2014-03-17 |
| 1912056169 | Wendy Heather Hull | Nurse Practitioner | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 | 2007-01-09 |
| 1467482380 | Ags Healthcare Specialists Inc | Nurse Practitioner | 14902 Winding Creek Ct, Ste 105-c, Tampa, FL 33613-1640 | 2006-07-04 |
| 1023001633 | Linda K Beagle | Nurse Practitioner | 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 | 2005-08-30 |
| Find all providers in TAMPA | ||||
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| 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.