LINDA C MATTLAGE (NPI# 1912978677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912978677 |
| Entity Type | Individual |
| Full Name | LINDA C MATTLAGE |
| Credential | ARNP |
| Practice Address |
248 Pleasant St Suite 1700 Concord NH 03301-2588 |
| Practice Telephone | 6032241929 |
| Practice Fax Number | 6032287114 |
| Mailing Telephone | 6032241929 |
| Mailing Fax Number | 6032287114 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
021052-23-02 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UPIN | 22258Y | 01 | |
| NH | 30008658 | 05 |
| Street Address |
248 PLEASANT ST SUITE 1700 |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744413 | Affiliates In Podiatry | Durable Medical Equipment & Medical Supplies | 248 Pleasant St, Ste 203, Concord, NH 03301-2588 | 2005-07-20 |
| 1821447228 | Amanda Geary | Optometrist | 248 Pleasant St, Suite 1600, Concord, NH 03301-2588 | 2016-06-07 |
| 1548633068 | Jennifer L. Taylor | Nurse Practitioner | 248 Pleasant St, Suite G200, Concord, NH 03301-2588 | 2015-11-05 |
| 1922499532 | Becky Lyn Potter | Dental Hygienist | 248 Pleasant St, Suite 202 Summit Dental, Concord, NH 03301 | 2015-02-18 |
| 1659775575 | Concord Ophthalmologic Associates Pa | Ophthalmology | 248 Pleasant St, Suite 1600, Concord, NH 03301-2588 | 2014-10-21 |
| 1669892881 | Jessica R Johnson | Nurse Practitioner | 248 Pleasant St, #2800, Concord, NH 03301-2588 | 2014-04-28 |
| 1043659790 | Alexander Stetsyuk | Radiology | 248 Pleasant St, Concord, NH 03301-2588 | 2013-06-17 |
| 1821352899 | William Collins Wrobel | Radiology | 248 Pleasant St, Concord, NH 03301-2588 | 2012-06-25 |
| 1326300914 | Marianne Reed Petruccelli | Radiology | 248 Pleasant St, Concord, NH 03301 | 2012-06-11 |
| 1306144571 | Ronald C Oliver | Radiology | 248 Pleasant St, Concord, NH 03301-2588 | 2011-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336525625 | Debra Clark | Nurse Practitioner | 1040 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2015-08-10 |
| 1740534551 | Meaghan Elise Pugh | Nurse Practitioner | 2165 East St, Concord, CA 94520-2011 | 2012-10-31 |
| 1831679752 | Amelia Michal Sperber | Nurse Practitioner | 2165 East St, Concord, CA 94520-2011 | 2018-08-20 |
| 1831677046 | Lindsay M Benton | Nurse Practitioner | 253 Pleasant St, Pediatrics, Concord, NH 03301-7560 | 2018-07-31 |
| 1770955445 | Meghan Chase | Nurse Practitioner | 330 Baker Ave, Pediatrics, Concord, MA 01742-2129 | 2015-10-21 |
| 1336529007 | Erin Winters Davis | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2015-06-08 |
| 1104242148 | Nicole Marie Demaria | Nurse Practitioner | 330 Baker Ave, Concord, MA 01742-2129 | 2014-03-14 |
| 1235467598 | Jessie Catherine Taylor | Nurse Practitioner | 133 Ornac, Emerson Hospital Pediatric Dept., Concord, MA 01742-4159 | 2009-11-25 |
| 1922240779 | Christine Mayor | Nurse Practitioner | 2299 Bacon St Ste 7, Concord, CA 94520-2046 | 2009-03-25 |
| 1730354515 | Nancy P Mizzoni | Nurse Practitioner | 131 Old Road To 9 Acre Cor, Suite 470, Concord, MA 01742-4181 | 2008-04-23 |
| Find all providers in CONCORD | ||||
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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.