JENNIFER SOLOMON MATTOX (NPI# 1174634356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174634356 |
| Entity Type | Individual |
| Full Name | JENNIFER SOLOMON MATTOX |
| Credential | NP |
| Practice Address |
97 San Marin Dr Novato CA 94945-1100 |
| Mailing Address |
Kaiser Permanente Novato Medical Offices 97 San Marin Dr. Novato CA 94945 |
| Practice Telephone | 4158997525 |
| Practice Fax Number | 4158997623 |
| Mailing Telephone | 4158997525 |
| Mailing Fax Number | 4158997623 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN- 514466, NP- | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN514466 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235549700 | Jennifer Louise Mattox | Occupational Therapist | 5100 S Main Ave, D202, Springfield, MO 65810-7830 | 2014-05-05 |
| 1194017079 | Jennifer Mattox | Speech-Language Pathologist | 3006 Bee Cave Rd, Suite B-200, Austin, TX 78746-5588 | 2011-05-10 |
| 1962532960 | Jennifer Jo Brunton Mattox | Occupational Therapist | 2701 Sw Randolph Ave, Topeka, KS 66611-1536 | 2007-03-07 |
| Street Address |
97 SAN MARIN DR |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891774113 | Jonathan Delson | Family Medicine | 97 San Marin Dr, Novato, CA 94945-1100 | 2006-01-13 |
| 1114533916 | Tina Martinelli | Respiratory Therapist, Registered | 97 San Marin Dr, Novato, CA 94945-1100 | 2020-09-17 |
| 1538631890 | Melissa Sanchez | Respiratory Therapist, Registered | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-27 |
| 1386116911 | Erin Kshevatzky | Respiratory Therapist, Certified | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-20 |
| 1447722103 | Carla Kaye Keller | Respiratory Therapist, Registered | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-19 |
| 1629540596 | Grace Power | Respiratory Therapist, Certified | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-17 |
| 1518438605 | Sanamjit Bains | Respiratory Therapist, Registered | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-16 |
| 1609346691 | Kenneth Allen | Respiratory Therapist, Registered | 97 San Marin Dr, Novato, CA 94945-1100 | 2018-12-03 |
| 1184158057 | Elizabeth Crouthamel | Pharmacist | 97 San Marin Dr, Novato, CA 94945-1100 | 2017-04-17 |
| 1043640303 | Nam Duy Nguyen | Pharmacist | 97 San Marin Dr, Novato, CA 94945-1100 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| 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.