BRECK MARIE MATTESON (NPI# 1588088181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588088181 |
| Entity Type | Individual |
| Full Name | BRECK MARIE MATTESON |
| Credential | RN BSN IBCLC |
| Practice Address |
562 Legends Row Avon Lake OH 44012-2269 |
| Practice Telephone | 2485067474 |
| Mailing Telephone | 2485067474 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
4704261958 | MI | Nursing Service Providers |
| Street Address |
562 LEGENDS ROW |
| City | AVON LAKE |
| State | OH |
| Zip Code | 44012-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743352 | Wyatt Demarco Massage Therapy & Wellness Center | Massage Therapist | 690 Avon Belden Rd, 2c, Avon Lake, OH 44012 | 2019-01-04 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1558619676 | Lindsay Stein | Counselor | 156a Lear Rd, Avon Lake, OH 44012 | 2012-08-21 |
| 1023388063 | Jennifer Lynn Dorman | Dietitian, Registered | 167 Belmar Boulevard, Avon Lake, OH 44012 | 2012-01-09 |
| 1033495338 | Jessica Rae Wyatt | Massage Therapist | 690 Avon Belden Rd Ste 2c, Avon Lake, OH 44012 | 2011-10-31 |
| 1841599248 | Robin M Hale | Counselor | 32831 Redwood Blvd, Avon Lake, OH 44012 | 2011-03-24 |
| 1265551766 | Robert Day Monroe | Podiatrist | 32118 Augusta Dr, Avon Lake, OH 44012 | 2007-03-28 |
| 1194822908 | John Secrest Pyke IIi | Dentist | 33399 Walker Rd, Suite D, Avon Lake, OH 44012 | 2006-09-20 |
| 1295842284 | Westshore Primary Care Assoc Inc | Internal Medicine | 32730 Walker Road, Building H, Avon Lake, OH 44012 | 2006-08-24 |
| Find all providers in zip 44012 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981486 | Sandra Jean Murray | Registered Nurse | 26946 Crocker Lndg, Columbia Station, OH 44028-9207 | 2020-10-30 |
| 1144839150 | Anne Keil Raley | Registered Nurse | 3419 Ridge Park Dr, Broadview Heights, OH 44147-2037 | 2020-07-26 |
| 1780229088 | Kavita K Singh | Registered Nurse | 4028 Sweet Shadow Ave, Gahanna, OH 43230-7399 | 2019-11-10 |
| 1669022349 | Sara Helene Pinney | Registered Nurse | 969 Reading Rd Ste H, Mason, OH 45040-2654 | 2019-09-16 |
| 1881258317 | Megan Kathleen Houle | Registered Nurse | 3855 Schooner Ct, Columbus, OH 43221-4814 | 2019-04-30 |
| 1124585302 | Debra Summers | Registered Nurse | 604 E Rich St, Columbus, OH 43215-5341 | 2019-02-25 |
| 1538667530 | Lauren Hope Damon | Registered Nurse | 1051 E College Ave, Westerville, OH 43081-2563 | 2018-01-25 |
| 1144687492 | Jenna Marie Clark | Registered Nurse | 7611 Peterson Rd, Conover, OH 45317-9721 | 2016-01-18 |
| 1952798738 | Cynthia Sue Derifield | Registered Nurse | 56 Township Road 316, Ironton, OH 45638-8967 | 2015-04-20 |
| 1528306115 | Kathryn Elizabeth Krull | Registered Nurse | 1517 Sunflower St, Lewis Center, OH 43035-7205 | 2013-01-16 |
| Find all providers with the same taxonomy | ||||
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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.