MRS. SHARON DENISE CLAY MATEMAVI (NPI# 1144213091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144213091 |
| Entity Type | Individual |
| Full Name | MRS. SHARON DENISE CLAY MATEMAVI |
| Other Name | SHARON DENISE CLAY-KEITH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
34875 Pourroy Rd Apt 1408 Winchester CA 92596-8184 |
| Practice Telephone | 2817953945 |
| Mailing Telephone | 2817953945 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
257939 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
35300722 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95003191 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7614 Fountaingrove Ln, Spring, TX 773797220 | 2812579651 | 2812579651 |
| 4211 Avalon Blvd, Los Angeles, CA 900115622 | 3234325198 |
| Street Address |
34875 POURROY RD APT 1408 |
| City | WINCHESTER |
| State | CA |
| Zip Code | 92596-8184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881979276 | A Step In The Right Direction LLC | Community/Behavioral Health | 31123 Janelle Ln, Street Address, Winchester, CA 92596 | 2011-10-17 |
| 1316047624 | Garfield Beach Cvs LLC | Pharmacy | 30736 Benton Rd, Winchester, CA 92596 | 2006-09-25 |
| 1093785685 | Jose Garcia Jimenez | Dental Hygienist | 31835 Corte San Pablo, Winchester, CA 92596 | 2006-01-25 |
| 1134597321 | Maila Sucaldito Bundalian | Registered Nurse | 32864 Bachelor Peak Street, Winchester, CA 92596-5201 | 2015-09-04 |
| 1194045823 | Maria Celeste Solomon | Speech-Language Pathologist | 35081 Lone Hill Ct, Winchester, CA 92596-8344 | 2010-06-04 |
| 1790115814 | Angie Miller | Speech-Language Pathologist | 31160 Pinon Pine Cir, Winchester, CA 92596-8353 | 2013-11-26 |
| 1316556350 | Honestlove Global Homecare Agency LLC | In Home Supportive Care | 35676 Small Pine Ct, Winchester, CA 92596-8376 | 2020-07-27 |
| 1194351023 | Supannee Sandra Lertpaichaiyon | Pharmacist | 32627 Presidio Hills Ln, Winchester, CA 92596-8434 | 2020-03-23 |
| 1720376171 | Ildiko Venczel | Pharmacist | 30712 Benton Rd, Winchester, CA 92596-8466 | 2011-07-19 |
| 1225635048 | David Samir Estaphnous | Pharmacist | 30736 Benton Rd, Winchester, CA 92596-8466 | 2020-10-05 |
| Find all providers in zip 92596 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124163852 | Linda Ann Cahill | Nurse Practitioner | 898 Main St, Marcus Health, Winchester, MA 01890 | 2007-02-20 |
| 1114013422 | Belinda Nicole Walsh | Nurse Practitioner | 301 N Cameron St, Suite 100, Winchester, VA 22601-4899 | 2006-10-05 |
| 1871142307 | Adomale Elba | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2019-09-06 |
| 1659925717 | Nicole Renee Ennis | Nurse Practitioner | 1812 Plaza Dr, Winchester, VA 22601-6365 | 2019-07-27 |
| 1922573104 | Rebecca Ann Myers-settle | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2018-10-03 |
| 1851814743 | Ching Hon | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2017-07-21 |
| 1265987002 | Sohayla Raja | Nurse Practitioner | 1812 Plaza Dr, Winchester, VA 22601-6365 | 2016-08-22 |
| 1285009894 | Jean Barrett Devaney | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2015-12-08 |
| 1801285598 | Birthinmind, LLC | Nurse Practitioner | 1812 W Plaza Dr, Winchester, VA 22601-6365 | 2015-01-18 |
| 1174911887 | Tina J Myer | Nurse Practitioner | 1840 Amherst St, Winchester, VA 22601-2808 | 2015-01-05 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 92596 |
Please comment or provide details below to improve the information on MRS. SHARON DENISE CLAY MATEMAVI.
| 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.