SALIA MATTISON (NPI# 1659679462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659679462 |
| Entity Type | Individual |
| Full Name | SALIA MATTISON |
| Other Name | SALIA MCMILLAN |
| Practice Address |
3400 Quadrangle Blvd Orlando FL 32817 |
| Mailing Address |
3400 Quadrangle Blvd Orlando FL 32817-1492 |
| Practice Telephone | 4072663627 |
| Practice Fax Number | 4078824799 |
| Mailing Telephone | 4072663627 |
| Mailing Fax Number | 4078824799 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9351557 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN176496 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024674400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 265 W Hwy 50, Clermont, FL 347113027 | 3523945535 |
| Street Address |
3400 QUADRANGLE BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394399 | Stanley C Haimes | Preventive Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2005-05-28 |
| 1548623408 | Naziha Slimani | Internal Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817 | 2016-03-29 |
| 1154601144 | Lance Feller | Internal Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2011-08-22 |
| 1346529088 | Maria Farooq | Internal Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817 | 2011-08-11 |
| 1588899553 | Christopher Mitchell Smith | Family Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2009-05-20 |
| 1295975308 | University of Central Florida | Clinical Medical Laboratory | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2009-03-02 |
| 1104066216 | University of Central Florida | Family Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817 | 2009-03-02 |
| 1598928640 | Shazia Ashraf Beg | Internal Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2008-07-09 |
| 1780843508 | Joyce Ann Paulson | Internal Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2008-06-06 |
| 1326205923 | Neha Bhanusali | Internal Medicine | 3400 Quadrangle Blvd, Orlando, FL 32817-1492 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
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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.