MRS. BRANDY RENEE MATUS


Address: 182 Sw Academy St, Dallas, OR 97338-1922
Phone: 5036239289

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 201130493LPN OR Nursing Service Providers

Office Location

Street Address 182 SW ACADEMY ST
City DALLAS
State OR
Zip Code 97338-1922

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City DALLAS
Zip Code 97338

Improve Information

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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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