MS. SALLY KATHRYN MATHIESON (NPI# 1275840712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275840712 |
| Entity Type | Individual |
| Full Name | MS. SALLY KATHRYN MATHIESON |
| Credential | APRN |
| Practice Address |
637 Union Street Dr. Leslie Lockridge Newport VT 05855-0838 |
| Mailing Address |
Po Box 75 Adamant VT 05640-0075 |
| Practice Telephone | 8023347177 |
| Practice Fax Number | 8024879299 |
| Mailing Telephone | 8022496887 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1010063655 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
637 UNION STREET DR. LESLIE LOCKRIDGE |
| City | NEWPORT |
| State | VT |
| Zip Code | 05855-0838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770662462 | Paul M Julien | Otolaryngology | 637 Union Street, Newport, VT 05855 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| 1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
| 1952753311 | Gabrielle Marcotte | Speech-Language Pathologist | 189 Prouty Dr, Newport, VT 05855 | 2016-07-11 |
| 1215385919 | Elizabeth Torres | Behavioral Analyst | 4088 Hinman Settler Rd, Newport, VT 05855 | 2016-06-03 |
| 1598147175 | Emmi Rena Chapdelaine | Massage Therapist | 419b Route 105, Newport, VT 05855 | 2015-06-19 |
| 1164721783 | Elaine Marie Nicol-cashin | Pharmacist | 59 Waterfront Plaza, Newport, VT 05855 | 2011-03-22 |
| 1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
| 1073717112 | Freedom Physical Therapy, P.c | Physical Therapist | 419a Vt Rt 105, Suite B, Newport, VT 05855 | 2007-06-13 |
| 1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
| Find all providers in zip 05855 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1801343942 | Gwendolyn K La Croix | Nurse Practitioner | 7521 N Telegraph Rd Ste 1, Newport, MI 48166-9398 | 2016-09-07 |
| 1992823728 | Reatha L Ryan | Nurse Practitioner | 615 Sw Hurbert St, Suite C, Newport, OR 97365-4981 | 2007-03-27 |
| 1881245058 | Arletha Nicole Kincaid | Nurse Practitioner | 11 Friendship St, Newport, RI 02840-2209 | 2019-09-27 |
| 1952825267 | Christopher Brent Delph | Nurse Practitioner | 990 W Highway 25 70, Newport, TN 37821 | 2017-07-28 |
| 1538595525 | Renata Figueiredo Sasson | Nurse Practitioner | 11 Friendship St, Newport, RI 02840-2209 | 2013-09-23 |
| 1396090809 | Tami Beth Lamb | Nurse Practitioner | 51 Sw Lee St, Newport, OR 97365-3823 | 2012-07-20 |
| 1124241054 | Della Fogerson | Nurse Practitioner | 36 Sw Nye St, Newport, OR 97365-3821 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205492196 | John-paul Cloutier | Nurse Practitioner | 1 Anna Marsh Ln, Brattleboro, VT 05302 | 2019-05-15 |
| 1235403452 | Ernest D. Lapierre, M.s., L.l.c | Nurse Practitioner | 17b Jersey Ct Unit 2, Morrisville, VT 05661-8381 | 2012-03-06 |
| 1144548116 | Brandi Amber Rand | Nurse Practitioner | 73 Center St Ste 2, Rutland, VT 05701-4046 | 2010-05-14 |
| 1629307111 | Kathryn R George | Nurse Practitioner | 56 W Twin Oaks Ter Ste 5, South Burlington, VT 05403-7138 | 2009-12-14 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1649443508 | Sarah Davis | Nurse Practitioner | 185 Tilley Dr Ste 52, South Burlington, VT 05403-4484 | 2008-04-10 |
| 1043409675 | Hella Douglas | Nurse Practitioner | 55 Main St Ste 2, Essex Junction, VT 05452-6100 | 2007-10-19 |
| 1629297437 | Annamarie Schrader | Nurse Practitioner | 359 Fisher Rd, Orwell, VT 05760-9769 | 2007-04-24 |
| 1003035536 | June B. Aschenbach | Nurse Practitioner | 196 Sunset Ln E, Hinesburg, VT 05461-9050 | 2007-04-24 |
| 1184747339 | Bradford Psychiatric Associates. LLC | Nurse Practitioner | 21 Upper Pln, Bradford, VT 05033-9016 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. SALLY KATHRYN MATHIESON.
| 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.