LOIS MAE MATTICE (NPI# 1710429477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710429477 |
Entity Type | Individual |
Full Name | LOIS MAE MATTICE |
Credential | ATC PTA |
Practice Address |
6000 J St Sacramento CA 95819-2605 |
Mailing Address |
4501 Cornfield Way Elk Grove CA 95758-6076 |
Practice Telephone | 9162787548 |
Mailing Telephone | 9164254483 |
Enumeration Date | 2016-11-12 |
Last Update Date | 2016-11-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 851000 | CA | Student, Health Care |
Street Address |
6000 J ST |
City | SACRAMENTO |
State | CA |
Zip Code | 95819-2605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194713107 | Diane Louise Sipkin | Family Medicine | 6000 J St, Sacramento State Student Health Center, Sacramento, CA 95819-2605 | 2005-10-12 |
1407457658 | Megan Marie Kirnon Ellis | Counselor | 6000 J St, Sacramento, CA 95819-2694 | 2020-11-04 |
1548810070 | Amanda Morton | Specialist/Technologist | 6000 J St, Sacramento, CA 95819-2605 | 2019-09-17 |
1053881425 | Nayely Grisel Calderon Alamillo | Behavior Technician | 6000 J St, Sacramento, CA 95819-2605 | 2018-11-28 |
1801377312 | Andrea Elizabeth Bravo Echegollen | Behavior Technician | 6000 J St, Sacramento, CA 95819-6073 | 2018-08-22 |
1356837793 | Alison Leigh Schuyler | Behavior Technician | 6000 J St, Sacramento, CA 95819-6073 | 2018-07-09 |
1447769898 | Jacqueline Martinez | Specialist/Technologist | 6000 J St, Sacramento, CA 95819-2605 | 2017-09-28 |
1962911669 | Michael Francis Geha | Specialist/Technologist | 6000 J St, Sacramento, CA 95819-2605 | 2017-09-26 |
1407377047 | Kevin Michael Lennon | Specialist/Technologist | 6000 J St, Sacramento, CA 95819-2605 | 2017-07-05 |
1033652334 | Heather Swanson | Specialist | 6000 J St, Sacramento, CA 95819-2605 | 2016-11-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
Find all providers in zip 95819 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
1811504533 | Joanna Ortega | Student in an Organized Health Care Education/Training Program | 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 | 2020-09-27 |
1922615632 | Joshua Bloomstein | Student in an Organized Health Care Education/Training Program | 4610 X St # 6, Sacramento, CA 95817-2200 | 2020-09-26 |
1528674892 | Ariela Mascarinas | Student in an Organized Health Care Education/Training Program | 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 | 2020-09-21 |
1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
1053921569 | Asha Rachel Ellman-kassing | Student in an Organized Health Care Education/Training Program | 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 | 2020-08-10 |
1972113066 | Keely Rodriguez | Student in an Organized Health Care Education/Training Program | 18 Outer Banks Pl, Sacramento, CA 95835-2469 | 2020-08-04 |
1639788425 | Duy Nguyen | Student in an Organized Health Care Education/Training Program | 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 | 2020-07-28 |
1023626314 | Veronica Gabriella Garcia Spandler | Student in an Organized Health Care Education/Training Program | 1510 16th St Apt 513, Sacramento, CA 95814-6041 | 2020-07-22 |
1235755620 | Hannah Greeley | Student in an Organized Health Care Education/Training Program | 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 | 2020-06-22 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95819 |
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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.