MRS. BRANDY RENEE MATUS (NPI# 1447513247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447513247 |
| Entity Type | Individual |
| Full Name | MRS. BRANDY RENEE MATUS |
| Credential | LPN |
| Practice Address |
182 Sw Academy St Dallas OR 97338-1922 |
| Practice Telephone | 5036239289 |
| Mailing Telephone | 5036239289 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 201130493LPN | OR | Nursing Service Providers |
| Street Address |
182 SW ACADEMY ST |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308632 | Alfredo Jose Soto | Psychiatry & Neurology | 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 | 2006-08-29 |
| 1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
| 1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
| 1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
| 1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
| 1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
| 1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
| 1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
| 1174170187 | Mikel-anne Devine | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-23 |
| 1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136139 | Damecia L Jefferson | Licensed Practical Nurse | 706 Mannington Dr, Dallas, TX 75232-3150 | 2020-08-28 |
| 1083224026 | Tyler Rodriguez | Licensed Practical Nurse | 10814 Stone Canyon Rd Apt 1157, Dallas, TX 75230-4360 | 2020-08-05 |
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1669099032 | Jacinta Irungu | Licensed Practical Nurse | 9959 Adleta Blvd Apt 1906, Dallas, TX 75243-8142 | 2020-07-01 |
| 1841814928 | Wounds On Wheels LLC | Licensed Practical Nurse | 210 Valley View Trl, Dallas, GA 30132-5561 | 2020-06-03 |
| 1558984088 | Shannon Seymore | Licensed Practical Nurse | 3637 Trinity Mills Rd Apt 1334, Dallas, TX 75287-6229 | 2020-05-19 |
| 1902439052 | Loria Flanagan | Licensed Practical Nurse | 210 Valley View Trail, Dallas, GA 30132-3013 | 2020-02-18 |
| 1144873118 | Catherine Lee | Licensed Practical Nurse | 225 Gordon Rd, Dallas, PA 18612-2406 | 2019-07-18 |
| 1861964546 | Brian Christopher Eunice | Licensed Practical Nurse | 4123 Cedar Springs Rd Apt 2428, Dallas, TX 75219-3551 | 2018-12-19 |
| 1861975534 | Agwesip Emmaculate | Licensed Practical Nurse | 6202 Balcony Ln, Dallas, TX 75241-5059 | 2018-09-10 |
| 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.