JESSICA NICOLE MATTINGLY


Address: 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848
Phone: 5029644357

JESSICA NICOLE MATTINGLY (NPI# 1255874731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255874731
Entity Type Individual
Full Name JESSICA NICOLE MATTINGLY
Credential APRN
Practice Address 7926 Preston Hwy Ste 106
Louisville
KY 40219-3848
Mailing Address 255 Anna Lee Dr
Taylorsville
KY 40071-9083
Practice Telephone 5029644357
Practice Fax Number 5029665948
Mailing Telephone 5022168827
Enumeration Date 2016-12-01
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3010918 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100495750 05

Other Providers JESSICA MATTINGLY

NPI Name Taxonomy Address Enumeration
1497010482 Jessica Kae Mattingly Speech-Language Pathologist 9000 Las Vegas Blvd S Unit 2035, Las Vegas, NV 89123-6406 2012-07-06
1093373771 Jessica Mattingly Registered Nurse 340 Nw Commerce Dr, Lake City, FL 32055-4709 2019-05-29
1134664949 Jessica Ann Mattingly Nurse Practitioner 170 Dr Arla Way, Louisville, KY 40229 2017-01-03
1891192324 Jessica Mattingly Social Worker 900 Beasley St, Lexington, KY 40509-4266 2014-11-26
1679706113 Jessica Kathleen Mattingly Psychologist 22 Northeast Dr, Hershey, PA 17033-2732 2009-09-01

Office Location

Street Address 7926 PRESTON HWY STE 106
City LOUISVILLE
State KY
Zip Code 40219-3848

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992700678 Shawn Mccarty Emergency Medicine 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2005-06-17
1861025819 Britney Nicole Perkins Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2020-02-18
1144853185 Lauren Marie Louden Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2020-02-18
1750914222 Alexis Owens Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2020-02-12
1366903916 Anam Fatima Family Medicine 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2019-03-27
1154889475 Sunita Gurung Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219 2019-03-05
1184181737 Kara Elizabeth Saling Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2019-03-01
1629535414 Nathalie Weis Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2019-02-27
1669939450 Christine Mutune Njogu Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2019-02-27
1407313570 Marie Elizabeth Honeycutt Nurse Practitioner 7926 Preston Hwy Ste 106, Louisville, KY 40219-3848 2019-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948154 Kathleen B Berghausen Nurse Practitioner 4112 Fern Valley Rod, Louisville, KY 40219 2020-09-25
1174165989 Joann Deborah Hobbs Nurse Practitioner 8216 Delido Rd, Louisville, KY 40219 2019-10-14
1962989319 Jennifer Lynn Pinkerton Hearing Instrument Specialist 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 2018-07-27
1942748447 Melissa Freeman Emanuele Speech-Language Pathologist 1550 Raydale Drive, Lousville, KY 40219 2017-02-03
1083014013 Christopher Maxey Specialist/Technologist Fern Valley Rd, Louisville, KY 40219 2014-08-27
1679985949 Antwan Turner Case Manager/Care Coordinator 5523 Saxon Blvd, Louisville, KY 40219 2014-05-21
1386055168 Kelly Larson Case Manager/Care Coordinator 6809 Bebe Ct., Louisville, KY 40219 2014-05-14
1639414626 Prettysmilesdenturesandmorellc Dentist 19123 West Mcnichols Rd, Detroit, MI 40219 2012-12-03
1881967701 Vickie Lynn Dixon Homemaker 3516 Templewood Dr., Louisville, KY 40219 2012-02-23
1811157555 Tonya Lynn Frost Chiropractor 4300 Outer Loop Ste 10, Louisville, KY 40219 2008-06-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023618535 Pamela Nicole Kinney Nurse Practitioner 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 2020-10-26
1457950883 Tetteh Narteh Nurse Practitioner 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 2020-10-16
1114525540 Richard A Anane Nurse Practitioner 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 2020-10-16
1427656081 Elma Mustic Nurse Practitioner 9714 Boxford Way, Louisville, KY 40242-2305 2020-10-15
1679171318 Cassandra Jane Lee Nurse Practitioner 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 2020-10-14
1942817762 Merritt Borders Nurse Practitioner 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 2020-09-25
1114533536 Lyssa Alexandra Miller Nurse Practitioner 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 2020-09-21
1174138713 Paola Cristina Maldonado Nurse Practitioner 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 2020-09-10
1033722525 Bynisha Robertson Nurse Practitioner 5312 Sprigwood Ln, Louisville, KY 40291-1135 2020-08-25
1154931202 Heather M Karem Nurse Practitioner 10207 Hartley Dr, Louisville, KY 40223-2735 2020-08-04
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Competitor

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City LOUISVILLE
Zip Code 40219

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Dataset Information

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.

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