NICOLE MATHIS (NPI# 1588058952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588058952 |
| Entity Type | Individual |
| Full Name | NICOLE MATHIS |
| Credential | BA |
| Practice Address |
4943 E 7th Ave Tampa FL 33605-4705 |
| Practice Telephone | 8134644083 |
| Practice Fax Number | 8133543515 |
| Mailing Telephone | 8134644083 |
| Mailing Fax Number | 8133543515 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432036 | Nicole Mathis | Occupational Therapist | 207 E Meadow Rd Ste 3, Eden, NC 27288-3469 | 2019-02-11 |
| 1669904819 | Nicole Mathis | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Morehouse School of Medicine/gme, Atlanta, GA 30310-1458 | 2017-03-28 |
| 1912377144 | Nicole Mathis | Occupational Therapist | 2601 Bransford Ave, Nashville, TN 37204-2811 | 2015-09-30 |
| 1306213111 | Nicole Lene' Mathis | Occupational Therapist | 7915 N 30th St, Omaha, NE 68112-2418 | 2015-08-27 |
| Street Address |
4943 E 7TH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33605-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104250349 | The Wigg Center | Case Management | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2013-08-23 |
| 1902290331 | Valerie Noel | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| 1831583285 | Antrissia Donaldson | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| 1609260074 | Tiphani Sanders | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| 1881088235 | Niqua Moody | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| 1316331754 | Lacrecia Byrams | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| 1760876114 | Demetrick Brown | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| 1326597949 | Sunstate Nephrology& Hypertension, LLC | Internal Medicine | 1922 E 4th Ave Ste A, Tampa, FL 33605 | 2016-09-23 |
| 1063836781 | Yetey Enterprises Inc | Assisted Living Facility | 3213 E 11th Ave, Tampa, FL 33605 | 2014-02-17 |
| 1275972903 | Tristin Andrew Zorn | Physical Therapy Assistant | 1803 E 3rd Ave, Tampa, FL 33605 | 2013-06-15 |
| 1184069213 | Jarvis A. Hodges | Counselor | 4422 E. Columbus Dr, Tampa, FL 33605 | 2013-05-02 |
| 1104164268 | Diana Marie Smith-scriven | Social Worker | 4422 East Columbus Drive, Tampa, FL 33605 | 2013-01-24 |
| 1699081943 | Gary L Howell | Psychologist | 2109 E Palm Ave Ste 201, Tampa, FL 33605 | 2010-08-25 |
| 1154555431 | Arthritis Pain Solutions LLC | Durable Medical Equipment & Medical Supplies | 1614 E 14th Ave, Tampa, FL 33605 | 2009-05-14 |
| 1891968715 | Deepa Dasani | Counselor | 4422 E. Columbus Drive, Tampa, FL 33605 | 2008-04-11 |
| 1811016058 | Peter A Gorski | Pediatrics | Children's Board of Hillsborough County, 1002 E. Palm Ave, Tampa, FL 33605 | 2007-03-28 |
| Find all providers in zip 33605 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068229 | Grace Davila | Case Manager/Care Coordinator | 6107 Memorial Hwy Ste G, Tampa, FL 33615-4564 | 2019-08-14 |
| 1568015931 | Tiffany Green | Case Manager/Care Coordinator | 100 S. Ashley Drive, Suite 600, Tampa, FL 33602-3360 | 2019-07-24 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1306347729 | April Marie Syx | Case Manager/Care Coordinator | 15501 Bruce B Downs Blvd Apt 1109, Tampa, FL 33647-1306 | 2018-02-21 |
| 1942712799 | Rosalind Mckever | Case Manager/Care Coordinator | 7305 South Kissimmee Street, Tampa, FL 33616 | 2017-11-02 |
| 1932626272 | Rogerick Green Sr. | Case Manager/Care Coordinator | 7853 Gunn Hwy # 133, Tampa, FL 33626-1611 | 2017-08-28 |
| 1609390129 | Tatiana Usova-lorenzo | Case Manager/Care Coordinator | 1220 S Dale Mabry Hwy Ste 201, Tampa, FL 33629-5019 | 2017-07-26 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1043745565 | Claudia Duran | Case Manager/Care Coordinator | 4001 W Dr Mlk Blvd, Tampa, FL 33614-7011 | 2017-04-21 |
| 1821547894 | Phyllis Thomas Powell | Case Manager/Care Coordinator | 1310 Four Seasons Blvd, Tampa, FL 33613-2326 | 2016-09-30 |
| Find all providers in TAMPA | ||||
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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.