NICHOLAS LOUIS DIMATTEO (NPI# 1255969564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255969564 |
| Entity Type | Individual |
| Full Name | NICHOLAS LOUIS DIMATTEO |
| Credential | APRN |
| Practice Address |
1441 N Beckley Ave Dallas TX 75203-1201 |
| Mailing Address |
6451 Brentwood Stair Rd Ste 200 Fort Worth TX 76112-3200 |
| Practice Telephone | 8179094290 |
| Mailing Telephone | 8174969700 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1008024 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 W Wheatland Rd, Dallas, TX 752373460 | 2149477777 | |
| 5200 Harry Hines Blvd, Dallas, TX 752357709 | 2145908000 |
| Street Address |
1441 N BECKLEY AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500395 | Alan Roach | Pharmacist | 1441 N Beckley Ave, Methodist Hospital of Dallas, Dallas, TX 75203-1201 | 2005-06-30 |
| 1740881648 | Joan Kaminar | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-11-06 |
| 1508473794 | Marlo Jeffrey | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-30 |
| 1457967523 | Misty Whitmire | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-23 |
| 1073127379 | Shurekkia Shantrice Hudgen | Registered Nurse | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-03 |
| 1134731193 | Cynthia Nachae Wrenn | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-08-20 |
| 1609490036 | Emily Nicole Seymour | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-06-01 |
| 1992328983 | Rachel Mentzel | Physical Therapist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-05-25 |
| 1891316204 | Pooja Dasari | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-27 |
| 1891315669 | Bobby Palmos | Surgery | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.