PATRICIA A MATTINGLY


Address: 10 Graham Rd W, Ithaca, NY 14850-1055
Phone: 6072572188

PATRICIA A MATTINGLY (NPI# 1760464325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760464325
Entity Type Individual
Full Name PATRICIA A MATTINGLY
Credential PNP
Practice Address 10 Graham Rd W
Ithaca
NY 14850-1055
Practice Telephone 6072572188
Practice Fax Number 6072667341
Mailing Telephone 6072572188
Mailing Fax Number 6072667341
Enumeration Date 2005-11-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F380603 1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
HEALTH NOW 000919177001 01
NY 01518285 05

Other Providers PATRICIA MATTINGLY

NPI Name Taxonomy Address Enumeration
1164714788 Patricia Jane Mattingly Obstetrics & Gynecology 6324 Fairview Rd Ste 390, Charlotte, NC 28210-4173 2011-05-16
1366856932 Patricia Mattingly Speech-Language Pathologist 601 Library Park Dr, Greenwood, IN 46142-1562 2014-06-11

Office Location

Street Address 10 GRAHAM RD W
City ITHACA
State NY
Zip Code 14850-1055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619959582 Jeffrey David Snedeker Pediatrics 10 Graham Rd W, Ithaca, NY 14850-1055 2005-11-16
1700431376 Caitlin C Griffin Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2019-08-09
1871061473 Caroline Furman Pediatrics 10 Graham Rd W, Ithaca, NY 14850-1055 2018-11-13
1376084822 Jessica Conner Psychologist 10 Graham Rd W, Ithaca, NY 14850-1055 2017-03-16
1326596917 Bryan H Powell Physician Assistant 10 Graham Rd W, Ithaca, NY 14850-1055 2016-09-13
1639533664 Brian Jeffrey Kramer Pediatrics 10 Graham Rd W, Ithaca, NY 14850-1055 2016-04-06
1528476629 Katherine Rudert Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2014-08-01
1548689920 Brittany J Raffa Pediatrics 10 Graham Rd W, Ithaca, NY 14850-1055 2014-04-14
1558628255 Lindsay Brianne Tamborelle Pediatrics 10 Graham Rd W, Ithaca, NY 14850-1055 2012-04-19
1548527344 Nina E Pegram Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2012-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174123897 Michelle Lee Sanito Registered Nurse 400 Lake Street, Ithaca, NY 14850 2020-10-30
1457959843 Summit Alternatives Lmsw PC Community/Behavioral Health 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 2020-10-16
1518581701 Sameer Acharya Student in an Organized Health Care Education/Training Program Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-03
1699399873 Anurag Aryal Student in an Organized Health Care Education/Training Program 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 2020-06-03
1932723228 Binay Kumar Kshetree Student in an Organized Health Care Education/Training Program Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-02
1225657349 Nima Hazrati Pour Fard Student in an Organized Health Care Education/Training Program Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 2020-04-09
1326671090 Garret Hoskey Specialist/Technologist 953 Dany Road, Ithaca, NY 14850 2020-02-20
1609407709 En-ting Hsu Marriage & Family Therapist 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 2020-01-28
1306491063 Patrick Owen Mckeon Specialist/Technologist Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 2019-08-08
1538722343 Priyesh Thakurathi Student in an Organized Health Care Education/Training Program 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 2019-04-17
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205320587 Anna Mary Clifford Nurse Practitioner 1301 Trumansburg Rd Ste H, Ithaca, NY 14850-1397 2018-06-19
1558328724 Hildegard Chan Epp Nurse Practitioner 115 Ferris Pl, Ithaca, NY 14850-4525 2006-04-29
1700431376 Caitlin C Griffin Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2019-08-09
1548527344 Nina E Pegram Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2012-04-18
1528371291 Andrea Beth Sharkness Nurse Practitioner 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 2010-07-22
1669670386 Kim Marie Kirkwood Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2007-07-03
1427185834 Holly Mulford Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2007-02-27
1437249471 Carolyn Koppel Nurse Practitioner 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 2006-10-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932709821 Shu-heng Wang Nurse Practitioner 7324 18th Ave, Brooklyn, NY 11204-5678 2020-10-29
1952909012 Marina Byshovets Nurse Practitioner 164 Admiralty Loop, Staten Island, NY 10309-3964 2020-10-12
1700483799 Dmitry Pediatrics, Pediatric Nurse Practitioner PC Nurse Practitioner 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 2020-10-03
1427664572 Leigh Ann Cohen Nurse Practitioner 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 2020-09-23
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1992311567 Jyneva W Pickel Nurse Practitioner 3959 Broadway Rm 722, New York, NY 10032-1559 2020-09-19
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
1134733710 Khristan Heagle Haller Nurse Practitioner 20 Locust Ln, Bronxville, NY 10708-4933 2020-09-01
1831703412 Marijana Waite Nurse Practitioner 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 2020-09-01
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Competitor

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City ITHACA
Zip Code 14850

Improve Information

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Dataset Information

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.

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