ALYSSA MATULICH (NPI# 1720439573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720439573 |
| Entity Type | Individual |
| Full Name | ALYSSA MATULICH |
| Credential | BSN, RN |
| Practice Address |
921 E 3rd St Chattanooga TN 37403-2102 |
| Mailing Address |
306 Stargaze Ln Hixson TN 37343-5807 |
| Practice Telephone | 4232098150 |
| Mailing Telephone | 4237740692 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
0000200624 | TN | Nursing Service Providers |
| Street Address |
921 E 3RD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225069503 | Paul Meredith Hendricks | Family Medicine | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2006-07-05 |
| 1831728732 | Rebecca L Carter | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-04-03 |
| 1245867787 | Terri Lynelle Cotter | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-03-25 |
| 1366078941 | Qutiba Abazid | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-03-16 |
| 1902449747 | Mary Morgan Plott | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2019-10-24 |
| 1073160552 | Linda Bentancurt | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2019-08-20 |
| 1205495967 | Emily Banks | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2019-06-06 |
| 1124585559 | Laura J Goodman | Preventive Medicine | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2019-02-21 |
| 1033689294 | Lauren Sullivan Vosika | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2018-11-30 |
| 1750870457 | Lauren Dean | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2018-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336513035 | Brandilyn Oliver | Registered Nurse | 1301 Riverfront Pkwy Ste 209, Chattanooga, TN 37402-3312 | 2015-11-18 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1831728732 | Rebecca L Carter | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-04-03 |
| 1245867787 | Terri Lynelle Cotter | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-03-25 |
| 1174185185 | Angela Michelle Shrum | Registered Nurse | 730 E 11th St, Chattanooga, TN 37403-3103 | 2019-07-01 |
| 1982112108 | Gregory Oberschmidt | Registered Nurse | 1301 Riverfront Pkwy Ste 209, Chattanooga, TN 37402-3312 | 2018-01-22 |
| 1891233862 | Elizabeth Thomas | Registered Nurse | 1301 Riverfront Pkwy, Suite 209, Chattanooga, TN 37402-2233 | 2017-02-09 |
| 1720431000 | Angela Richmond | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2016-07-21 |
| 1568826469 | Marissa Thompson | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2016-04-07 |
| 1043696503 | Sabrina Davis- | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2015-08-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.