MRS. JENNIFER JEAN MATA (NPI# 1831738079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831738079 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER JEAN MATA |
| Credential | CNP |
| Practice Address |
1414 Stewart Rd Monroe MI 48162-9228 |
| Mailing Address |
770 Mildred Ave Temperance MI 48182-9203 |
| Practice Telephone | 7342428880 |
| Mailing Telephone | 7342442353 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
4704305266 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710514393 | Jennifer Mata | Social Worker | 92 Crystal Ln, Royersford, PA 19468-2292 | 2020-03-24 |
| 1932583697 | Jennifer Lorraine Mata | Counselor | 477 N County Road 307, Orange Grove, TX 78372-9387 | 2015-07-13 |
| 1780893552 | Jennifer Ricafrente Mata | Dentist | 21830 Kingsland Blvd Ste 104, Katy, TX 77450-2500 | 2007-05-21 |
| 1366002701 | Jennifer Mata | Behavior Technician | 13353 Alondra Blvd Ste 105, Santa Fe Springs, CA 90670-5576 | 2019-06-18 |
| 1316262033 | Jennifer Garcia Mata | Physician Assistant | 6161 N State Highway 161, Irving, TX 75038 | 2010-04-06 |
| Street Address |
1414 STEWART RD |
| City | MONROE |
| State | MI |
| Zip Code | 48162-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033281811 | Advanced Heart Care | Internal Medicine | 1414 Stewart Rd, Monroe, MI 48162-9228 | 2006-11-15 |
| 1437511573 | Advanced Heart & Vascular Care Pllc | Internal Medicine | 1414 Stewart Rd, Monroe, MI 48162-9228 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265916662 | Misty Novakowski | Registered Nurse | 368 Baintree Blvd, Brighton, MI 48114-5005 | 2018-09-20 |
| 1316376700 | Joanne Susan Sedor | Registered Nurse | 801 W Long Lake Rd Apt F5, Bloomfield Hills, MI 48302-2065 | 2013-11-06 |
| 1902234040 | California Guz Medic Anesthesia Services PC | Registered Nurse | 2056 Sequoia Ct, Troy, MI 48085-3580 | 2013-10-29 |
| 1780998195 | Christopher Steven Treutel | Registered Nurse | 516 Jackson St, Petoskey, MI 49770-2254 | 2010-07-28 |
| 1194330431 | Nancy Jo Baker | Registered Nurse | 4150 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2020-09-14 |
| 1376080523 | Dorcas Musili | Registered Nurse | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2017-01-26 |
| 1073926622 | Susan Bird | Registered Nurse | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2014-06-10 |
| 1417290271 | Jill Nicole Neal | Registered Nurse | 320 Brigham St, Plainwell, MI 49080-1577 | 2013-03-30 |
| 1013261734 | Susan Campitelle | Registered Nurse | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2012-11-02 |
| 1356698492 | Alyson Lyndsay Murray | Registered Nurse | 100 Van Buren St W, Battle Creek, MI 49017-3050 | 2012-08-08 |
| Find all providers with the same taxonomy | ||||
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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.