CASEY LYNN MATTINGLY (NPI# 1114537537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114537537 |
Entity Type | Individual |
Full Name | CASEY LYNN MATTINGLY |
Other Name | CASEY LYNN TUCKER |
Practice Address |
204 Kelly St Paris KY 40361-1516 |
Practice Telephone | 9372130571 |
Enumeration Date | 2020-08-01 |
Last Update Date | 2020-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
1156767 | KY | Nursing Service Providers |
Street Address |
204 KELLY ST |
City | PARIS |
State | KY |
Zip Code | 40361-1516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588157739 | Maria Renee Koerner | Counselor | 5 Linville Dr., Ste 102, Paris, KY 40361 | 2018-06-12 |
1922353432 | Bluegrass Hearing Clinic, LLC | Audiologist | 20 E 5th St, Paris, KY 40361 | 2012-07-20 |
1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
1396801395 | Bourbon Family Dentistry | Dentist | 4223 A Lexington Rd, Paris, KY 40361 | 2006-12-28 |
1669535795 | Liza Levy | Family Medicine | 2017 South Main Street, Paris, KY 40361 | 2006-12-19 |
1114088770 | Wal-mart East, Lp | Technician/Technologist | 305 Letton Dr., Paris, KY 40361 | 2006-12-13 |
1235200205 | Mariam Susanne Fallahzadeh | Dentist | 4223a Lexington Road, Bourbon Family Dentistry Pllc, Paris, KY 40361 | 2006-11-13 |
1245313246 | Vargo Enterprises Inc | Clinical Medical Laboratory | 2017 South Main, Paris, KY 40361 | 2006-10-23 |
1831289131 | Kpi Therapy | Contractor | 436 Houston Oaks, Paris, KY 40361 | 2006-10-15 |
1184738999 | Chester Raymond Young Jr. | Family Medicine | 22 Clinic Dr, Paris, KY 40361 | 2006-08-18 |
Find all providers in zip 40361 |
Taxonomy Code | 163WE0003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Emergency |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255930756 | Samantha Chestnut | Registered Nurse | 10301 Thrift Dr Apt 103, Louisville, KY 40223-0096 | 2020-10-26 |
1639791908 | Lauren Read | Registered Nurse | 124 Poteet Ct, Bowling Green, KY 42104-6455 | 2020-05-10 |
1821626441 | Stephanie Priest | Registered Nurse | 845 Delaney Ferry Rd, Versailles, KY 40383-9505 | 2020-03-30 |
1558999540 | Suzanne Michelle Laird-attum | Registered Nurse | 5300 Southern Pkwy, Louisville, KY 40214-1326 | 2020-03-27 |
1902395528 | Whitney Nacole Rowe | Registered Nurse | Kings Daughters Medical Center Greenup Primary Care, 1629 Ashland Rd, Greenup, KY 41144 | 2018-05-09 |
1730688979 | Renee Anastasia Miller | Registered Nurse | 1151 W 9th St, Russellville, KY 42276-9760 | 2018-02-02 |
1750751327 | Jeffrey Lyons | Registered Nurse | 390 Stallworth Ct, Elsmere, KY 41018-1959 | 2015-09-25 |
1609124577 | Paula Marie Sherman | Registered Nurse | 1205 Winter Springs Ct, Unit 103, Louisville, KY 40243-2914 | 2012-08-26 |
1700191228 | Lee Ann Grainger Keller | Registered Nurse | 1860 J H O'bryan Ave, Grand Rivers, KY 42045 | 2010-08-09 |
1790794717 | Linda Sparks | Registered Nurse | 5502 Saxon Blvd, Louisville, KY 40219 | 2006-08-07 |
Find all providers with the same taxonomy |
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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.