KIMBERLY DEMATTIE (NPI# 1154834539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154834539 |
| Entity Type | Individual |
| Full Name | KIMBERLY DEMATTIE |
| Credential | APRN-CNP, LSW |
| Practice Address |
178 Private Drive 19423 South Point OH 45680-9018 |
| Practice Telephone | 7404510741 |
| Practice Fax Number | 7408941132 |
| Mailing Telephone | 7404510741 |
| Mailing Fax Number | 7408941132 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | S.0028154 | OH | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | RN.444863 | OH | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.0026784 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0255750 | 05 |
| Street Address |
178 PRIVATE DRIVE 19423 |
| City | SOUTH POINT |
| State | OH |
| Zip Code | 45680-9018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
| 1770122509 | Margaret Ellen Mccue | Social Worker | 178 Private Drive 19423, South Point, OH 45680 | 2019-12-26 |
| 1205483419 | Rhonda Farley | Social Worker | 178 Private Drive 19423, South Point, OH 45680 | 2019-08-22 |
| 1770046419 | Taylor L Porter | Case Manager/Care Coordinator | 178 Private Drive 19423, South Point, OH 45680 | 2019-04-10 |
| 1558838417 | Kimberly Whitt | Social Worker | 178 Private Drive 19423, South Point, OH 45680 | 2018-10-30 |
| 1235605593 | Leigh Ann Baker | Case Manager/Care Coordinator | 178 Private Drive 19423, South Point, OH 45680 | 2018-10-15 |
| 1689149445 | Sierra Nicole Nance | Social Worker | 178 Private Drive 19423, South Point, OH 45680 | 2018-10-09 |
| 1033604780 | Jill Lynn Freeman | Case Manager/Care Coordinator | 178 Private Drive 19423, South Point, OH 45680 | 2018-06-26 |
| 1245736875 | Lauren Kristine Beam | Case Manager/Care Coordinator | 178 Private Drive 19423, South Point, OH 45680 | 2018-04-03 |
| 1548761349 | Kasey Mccallister | Case Management | 178 Private Drive 19423, South Point, OH 45680 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021319 | Allison R Nolan Phillips | Nurse Practitioner | 335 Jefferson Ave, South Point, OH 45680 | 2020-07-23 |
| 1275099384 | Jennifer Lynn Ellsworth | Case Manager/Care Coordinator | 178 Private Dr # 19423, South Point, OH 45680 | 2019-02-13 |
| 1639640931 | Kyle Allen Mcknight | Case Manager/Care Coordinator | 178 Private Dr 19423, South Point, OH 45680 | 2018-12-12 |
| 1538639315 | Allyson Faith Fluty | Physical Medicine & Rehabilitation | 335 Jefferson Avenue, South Point, OH 45680 | 2018-12-05 |
| 1205302304 | Marielle Madden | Social Worker | 178 Private Drve 19423, South Point, OH 45680 | 2018-10-17 |
| 1841782018 | Demian Byrne | Counselor | 49 Twsp Rd 365, South Point, OH 45680 | 2018-06-04 |
| 1104317239 | Janie Rose Morris | Case Manager/Care Coordinator | 178 Private Road 29423, South Point, OH 45680 | 2018-05-24 |
| 1225230311 | Janet Sue White | Occupational Therapy Assistant | County Road 1, South Point, OH 45680 | 2007-06-01 |
| 1417161290 | Alicia K Wilson | Home Health Aide | 1035 Country Rd 1, Apt 253, South Point, OH 45680 | 2007-05-10 |
| 1306062575 | Marcellus J Gilreath | Internal Medicine | 50 Township Rd.1012 Suite B, South Point, OH 45680 | 2007-04-17 |
| Find all providers in zip 45680 | ||||
| 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 |
|---|---|---|---|---|
| 1063021319 | Allison R Nolan Phillips | Nurse Practitioner | 335 Jefferson Ave, South Point, OH 45680 | 2020-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH POINT |
| Zip Code | 45680 |
Please comment or provide details below to improve the information on KIMBERLY DEMATTIE.
| 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.