TAMI JOY MATUSZAK (NPI# 1568487098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568487098 |
| Entity Type | Individual |
| Full Name | TAMI JOY MATUSZAK |
| Credential | APRN, CNP |
| Practice Address |
1502 London Rd Ste 102 Duluth MN 55812-1787 |
| Mailing Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 2185760100 |
| Practice Fax Number | 2185760126 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2983 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R131351-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 871465700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 E 37th St, Suite 220, Hibbing, MN 557462971 | 2182639698 | 2182621915 |
| Street Address |
1502 LONDON RD STE 102 |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-1787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439759 | Isaac J Hunt | Clinical Neuropsychologist | 1502 London Rd Ste 102, Duluth, MN 55812-1787 | 2019-07-18 |
| 1669942678 | Hannah Bjerkness | Physician Assistant | 1502 London Rd Ste 102, Duluth, MN 55812-1787 | 2018-12-03 |
| 1891228094 | Jay Joseph Allen | Family Medicine | 1502 London Rd Ste 102, Duluth, MN 55812-1787 | 2017-04-05 |
| 1770904633 | Anna Dehler | Nurse Practitioner | 1502 London Rd Ste 102, Duluth, MN 55812-1787 | 2013-12-19 |
| 1275828469 | Amy Marie Westrick | Nurse Practitioner | 1502 London Rd Ste 102, Duluth, MN 55812-1787 | 2011-06-15 |
| 1679897276 | Kristi Mae Hanson | Occupational Therapist | 1502 London Rd Ste 102, Essentia Health Lakewalk Clinic, Duluth, MN 55812-1787 | 2010-03-25 |
| 1760670053 | Jill C Isenberg | Clinical Neuropsychologist | 1502 London Rd Ste 102, Duluth, MN 55812-1787 | 2007-10-11 |
| 1083814958 | Michelle L Holmes | Nurse Practitioner | 1502 London Rd Ste 102, Essentia Health Lakewalk Clinic, Duluth, MN 55812-1787 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1174141873 | Akiysha Collins Caine | Nurse Practitioner | 2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002 | 2020-07-09 |
| 1437608684 | Salimah Chagani | Nurse Practitioner | 4855 River Green Pkwy #700, Duluth, GA 30096 | 2016-09-29 |
| 1316495773 | Lifeline Primary Care | Nurse Practitioner | 4855 River Green Pkwy Ste 700, Duluth, GA 30096-8337 | 2016-09-14 |
| 1619329661 | Stephanie Bridges | Nurse Practitioner | 3575 Koger Blvd, Ste 116, Duluth, GA 30096-7559 | 2016-07-01 |
| 1215336664 | Rachel Marie Swor | Nurse Practitioner | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2014-08-21 |
| 1669811410 | Laura Elizabeth Lashley | Nurse Practitioner | 3505 Duluth Park Ln Bldg 4, Duluth, GA 30096-3201 | 2013-06-14 |
| 1851638423 | Candace Jacobs Ginsberg | Nurse Practitioner | 130 N 60th Ave E, Duluth, MN 55804-2549 | 2013-01-15 |
| 1710275128 | Megan Jennie Baertsch | Nurse Practitioner | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2011-07-19 |
| Find all providers in DULUTH | ||||
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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.