CINDY MATTINGLY (NPI# 1164956108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164956108 |
Entity Type | Individual |
Full Name | CINDY MATTINGLY |
Practice Address |
4650 Frederica St Owensboro KY 42301-7496 |
Practice Telephone | 2706867429 |
Practice Fax Number | 2706867558 |
Mailing Telephone | 2706867429 |
Mailing Fax Number | 2706867558 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | 166414 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4650 FREDERICA ST |
City | OWENSBORO |
State | KY |
Zip Code | 42301-7496 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588742506 | Shoe Stop Inc | Durable Medical Equipment & Medical Supplies | 4650 Frederica St, Owensboro, KY 42301-7496 | 2006-11-01 |
1710411764 | Cecelia Cox | Pedorthist | 4650 Frederica St, Owensboro, KY 42301-7496 | 2017-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710411764 | Cecelia Cox | Pedorthist | 4650 Frederica St, Owensboro, KY 42301-7496 | 2017-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104939156 | Larry Wheeler | Pedorthist | 371 Southland Dr, Lexington, KY 40503-1824 | 2006-08-16 |
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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.