MRS. MARTHA CAROL MATTSSON (NPI# 1134202161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134202161 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA CAROL MATTSSON |
| Credential | APRN MS BC |
| Practice Address |
117 West 200 South Daybreak Behavioral Medicine Farmington UT 84025-1036 |
| Mailing Address |
Po Box 1036 117 W 200 So Farmington UT 84025-1036 |
| Practice Telephone | 8014514843 |
| Practice Fax Number | 8014512839 |
| Mailing Telephone | 8014514843 |
| Mailing Fax Number | 8014512839 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
218162-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
117 WEST 200 SOUTH DAYBREAK BEHAVIORAL MEDICINE |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780785329 | Stan M Fillmore | Social Worker | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| 1730251844 | Dybreak Behavioral Healthcare | Counselor | 117 West 200 South, Farmington, UT 84025-1036 | 2006-11-14 |
| 1124129739 | Julianne Kemp Arbuckle | Psychologist | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| 1346341971 | Geraldine Oka Matsumura | Registered Nurse | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790868727 | Linda J Mabey | Clinical Nurse Specialist | 117 West 200 So, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| 1841214335 | Margaret J Brothers | Clinical Nurse Specialist | 1085 Maple St, Farmington, MO 63640-1955 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038933 | Sheila Arlene Deyette | Clinical Nurse Specialist | Russell Murdock, 50 North Medical Dr, Salt Lake City, UT 84132-0001 | 2013-04-19 |
| 1942488002 | Jodi Lynne Morstein | Clinical Nurse Specialist | 127 S 500 E Ste 600, Salt Lake City, UT 84102-1971 | 2008-01-31 |
| 1285696187 | Cheryl M Jensen | Clinical Nurse Specialist | 2040 E. Murray Holladay Rd, Suite 222, Salt Lake City, UT 84117-5185 | 2006-04-05 |
| 1588660773 | Lee W Bradshaw | Clinical Nurse Specialist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2005-06-22 |
| 1265051262 | Alrae Snyder | Clinical Nurse Specialist | 1300 E Center St, Provo, UT 84606-3554 | 2020-04-10 |
| 1578125878 | Bridget Linett Shears | Clinical Nurse Specialist | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-07-08 |
| 1366979197 | Megan Ames | Clinical Nurse Specialist | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2017-05-11 |
| 1104080712 | Grace Belliston | Clinical Nurse Specialist | 982 Chambers St, Ogden, UT 84403-4571 | 2008-07-12 |
| 1083732051 | Adolescent, Child and Family Therapy Clinic, Inc | Clinical Nurse Specialist | 370 E South Temple, Ste 550, Salt Lake City, UT 84111-1206 | 2007-03-27 |
| 1619927795 | Rose B Olds | Clinical Nurse Specialist | 370 E South Temple, Ste 550, Salt Lake City, UT 84111-1206 | 2006-05-11 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on MRS. MARTHA CAROL MATTSSON.
| 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.