LISA L MATTKE (NPI# 1790754737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790754737 |
| Entity Type | Individual |
| Full Name | LISA L MATTKE |
| Credential | CNM |
| Practice Address |
201 Cedar St Se Ste. 5640 Albuquerque NM 87106-4917 |
| Practice Telephone | 5058436168 |
| Practice Fax Number | 5052479743 |
| Mailing Telephone | 5058436168 |
| Mailing Fax Number | 5052479743 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | R148101-3 | MN | Other Service Providers |
| Y | 367A00000X | Advanced Practice Midwife | 620 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 86807331 | 05 |
| Street Address |
201 CEDAR ST SE STE. 5640 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315390 | Robert E. Federici | Internal Medicine | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2005-06-01 |
| 1184269581 | Felicia Strange | Physician Assistant | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2019-11-10 |
| 1033699731 | Jessica Frances Brisson | Physician Assistant | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2018-08-21 |
| 1043759756 | Diana Lynn Gabaldon | Pharmacist | 201 Cedar St Se, Suite 4620, Albuquerque, NM 87106-4917 | 2017-02-14 |
| 1891233045 | Presbyterian Healthcare Services | General Acute Care Hospital | 201 Cedar St Se, Suite 4602, Albuquerque, NM 87106-4917 | 2017-02-08 |
| 1366993024 | Anne Karlovitz | Nurse Practitioner | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2016-10-18 |
| 1346691649 | Cara J Garner | Dietitian, Registered | 201 Cedar St Se, Suite 4660, Albuquerque, NM 87106-4917 | 2016-06-28 |
| 1922479914 | Michelle Maxedon | Genetic Counselor, MS | 201 Cedar St Se, Suite 405, Albuquerque, NM 87106-4917 | 2015-10-15 |
| 1366827537 | Sarah Streng | Occupational Therapist | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2015-07-29 |
| 1306228283 | Cristina Ferraro | Physician Assistant | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133357 | Audra Mckillip-heard | Advanced Practice Midwife | 5027 Midnight Vista Ave Nw, Albuquerque, NM 87114-4380 | 2020-10-28 |
| 1194337378 | Sureyya Stone | Advanced Practice Midwife | 1317 Calle Del Ranchero Ne, Albuquerque, NM 87106-1106 | 2020-08-19 |
| 1114445095 | Donyelle Sharmane Miller | Advanced Practice Midwife | 2211 Lomas Blvd Ne Unmh - Obgyn, Albuquerque, NM 87131-6510 | 2017-08-31 |
| 1356750210 | Erin Stopani | Advanced Practice Midwife | 6100 Pan American Frwy, Ste 450, Albuquerque, NM 87109 | 2014-08-05 |
| 1467888503 | Brittany Simplicio | Advanced Practice Midwife | University of New Mexico Hospital Msc10 5580, Albuquerque, NM 87131-0001 | 2013-09-20 |
| 1992084164 | Nicolle L Gonzales | Advanced Practice Midwife | 5400 Gibson Blvd. Se, Abq Health Partners, Albuquerque, NM 87108-0001 | 2011-08-05 |
| 1710182886 | Anita Jean Harshman | Advanced Practice Midwife | 2211 Lomas Blvd Ne Ste 211, Albuquerque, NM 87106-2745 | 2007-06-19 |
| 1306960174 | Julie Gregory Gorwoda | Advanced Practice Midwife | Msc10 5580, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-03-19 |
| 1528071040 | Hilary Ann Schlinger | Advanced Practice Midwife | 520 Tomasita St Ne, Albuquerque, NM 87123-1254 | 2006-08-14 |
| 1649287608 | Donna Lockridge | Advanced Practice Midwife | 7525 Zuni Rd Se, Maternity - Infant Care, Albuquerque, NM 87108-3354 | 2006-08-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.