DR. KALYNN BROWN MATISCO (NPI# 1952362212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952362212 |
| Entity Type | Individual |
| Full Name | DR. KALYNN BROWN MATISCO |
| Credential | APRN |
| Practice Address |
6717 Nw 11th Pl Ste B Gainesville FL 32605-4233 |
| Practice Telephone | 3525050255 |
| Practice Fax Number | 3525050997 |
| Mailing Telephone | 3525050255 |
| Mailing Fax Number | 3525050997 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP1068572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1068572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1068572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN1068572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1068572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
1068572 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 302561600 | 05 | |
| FL | 305534500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Gainesville, FL 326103003 | 3522650139 | 8507475475 |
| 445 Ishie Ave, Bronson, FL 326216204 | 3524863420 |
| Street Address |
6717 NW 11TH PL STE B |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1831544139 | Ryleigh Cahill | Nurse Practitioner | 2355 Nw 32nd Pl, Gainesville, FL 32605-2498 | 2016-04-25 |
| 1164854584 | Karah Kiley-rae Sickler | Nurse Practitioner | 2601 Nw 23rd Blvd, Apt 204, Gainesville, FL 32605-5905 | 2013-08-08 |
| 1023015617 | Aerica Lynette Savage | Nurse Practitioner | 4645 Nw 8th Ave, Gainesville, FL 32605-4524 | 2005-06-28 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1285240580 | Jennifer Erin Wood | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-22 |
| 1568076354 | Kristen Leigh Troxler | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-08-31 |
| 1144838665 | Albert Duane Hancock | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-07-21 |
| 1205453164 | Brittney Tolles Kirkpatrick | Nurse Practitioner | 200 S Enota Dr Ne Ste 380, Gainesville, GA 30501-3475 | 2020-06-26 |
| 1417570912 | Sara Kristen Greene | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-05-19 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on DR. KALYNN BROWN MATISCO.
| 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.