COLETTE MATTOX (NPI# 1114381522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114381522 |
| Entity Type | Individual |
| Full Name | COLETTE MATTOX |
| Practice Address |
5818 N Jefferson Commons Cir Apt 104 Kalamazoo MI 49009-6074 |
| Practice Telephone | 2317364272 |
| Mailing Telephone | 2317364272 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5818 N JEFFERSON COMMONS CIR APT 104 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972046829 | Samantha Emery | Rehabilitation Practitioner | 172 W Crooked Lake Dr, Kalamazoo, MI 49009-9713 | 2016-11-27 |
| 1700336880 | Alyssa Laney | Rehabilitation Practitioner | 1017 Par 4 Cir, Kalamazoo, MI 49008-2915 | 2016-10-12 |
| 1013461144 | Erica Hisler | Rehabilitation Practitioner | 2023 Chaparral St, Kalamazoo, MI 49006-1324 | 2016-08-05 |
| 1154774826 | Destinee A Wells | Rehabilitation Practitioner | 4334 Ridgeway Cir, Apt E, Kalamazoo, MI 49006-6240 | 2016-07-19 |
| 1861849960 | Karen Mcpherson | Rehabilitation Practitioner | 2826 Sonora St., Kalamazoo, MI 49004 | 2016-05-18 |
| 1649626219 | Jevestine Faith Johnston | Rehabilitation Practitioner | 134 Parker Ave, Kalamazoo, MI 49001-5350 | 2016-05-12 |
| 1457707531 | Amanda Kitler | Rehabilitation Practitioner | 4129 Pembrook St, Kalamazoo, MI 49008-3203 | 2016-05-09 |
| 1558725077 | Ieasha Johnson | Rehabilitation Practitioner | 1115 Prairie Ave, Kalamazoo, MI 49006-2267 | 2016-04-11 |
| 1982064838 | Jessica Fleury | Rehabilitation Practitioner | 7758 E G Ave, Kalamazoo, MI 49048-8202 | 2016-03-03 |
| 1043677768 | Arianna Alexus Carter-bivens | Rehabilitation Practitioner | 310 S Kendall Ave, Apt 22, Kalamazoo, MI 49006-5207 | 2016-01-26 |
| Find all providers in KALAMAZOO | ||||
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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.