MATTHEW TYMON (NPI# 1326491804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326491804 |
| Entity Type | Individual |
| Full Name | MATTHEW TYMON |
| Practice Address |
103 Lewis St Fort Walton Beach FL 32547-3142 |
| Practice Telephone | 8503626824 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | RBT-16-20513 | FL | Technologists, Technicians & Other Technical Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
103 LEWIS ST |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497146807 | Kwimi Taylor | Behavioral Analyst | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2015-02-08 |
| 1912537549 | Amy Driessen | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2020-01-23 |
| 1619510146 | Christina Rachel Allaire | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2019-10-28 |
| 1114572815 | Corey James Hadley | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2019-08-08 |
| 1891340261 | Christy Lamacki | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547 | 2019-08-02 |
| 1144882010 | Caitlyn Marie-rose Corn | Behavioral Analyst | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2019-07-01 |
| 1801453196 | Laura Bird | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2019-05-22 |
| 1427514686 | Lora Elizabeth Reid | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2019-02-13 |
| 1871060889 | Sandra Royce | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2018-10-29 |
| 1780159616 | Jacob Fuller | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326529355 | Prince Properties | Technician, Other | 128 Eglin Pkwy Se, Fort Walton Beach, FL 32548-5519 | 2018-08-27 |
| 1184892531 | Matthew J Wilson | Technician, Other | 119 Beal Pkwy Se, Suite 101, Fort Walton Beach, FL 32548-5386 | 2008-02-19 |
| 1225481922 | Jennifer Martin | Technician, Other | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2016-07-18 |
| 1164875993 | Heather Wilson | Technician, Other | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2016-07-17 |
| 1144605411 | Jeffery Ratcliff Jr. | Technician, Other | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1376158188 | Michael Blake Atlas | Technician, Other | 1242 Ginger Cir, Weston, FL 33326-3627 | 2020-09-09 |
| 1104439579 | Amaury Li | Technician, Other | 265 Highgate Park Blvd, Davenport, FL 33897-7732 | 2020-08-26 |
| 1831709864 | Odayme Sanchez | Technician, Other | 11520 Sw 57th Ter, Miami, FL 33173-1012 | 2020-08-04 |
| 1700496106 | Ilia De Los Angeles Diaz Moure | Technician, Other | 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 | 2020-07-31 |
| 1619585932 | Skyler Mebane | Technician, Other | 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 | 2020-07-22 |
| 1568092112 | Charity Marie Majors | Technician, Other | 714 Venetian Way, Panama City, FL 32405-7502 | 2020-01-23 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.