ALLISON N MATT (NPI# 1164844312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164844312 |
Entity Type | Individual |
Full Name | ALLISON N MATT |
Other Name | ALLISON N GLASER |
Credential | RN, BSN, MSN, NP-C |
Practice Address |
3715 Municipal Dr Mchenry IL 60050-5483 |
Mailing Address |
3010 Grand Ave Waukegan IL 60085-2321 |
Practice Telephone | 8157592306 |
Mailing Telephone | 8473778296 |
Mailing Fax Number | 8479845689 |
Enumeration Date | 2014-01-07 |
Last Update Date | 2019-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
041.387154 | IL | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.019647 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3010 Grand Ave, Waukegan, IL 600852321 | 8473778296 | 8479845689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770921256 | Allison Matt | Counselor | 210-214 North 6th Street, Allentown, PA 18102-4112 | 2013-06-06 |
Street Address |
3715 MUNICIPAL DR |
City | MCHENRY |
State | IL |
Zip Code | 60050-5483 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
Find all providers in zip 60050 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225465305 | Christine M Swanson | Nurse Practitioner | 2704 Pueblo Drive, Mchenry, IL 60051 | 2013-10-03 |
1548267479 | Phyllis Ruth Dalla Betta | Nurse Practitioner | 4805 Prime Pkwy, Mchenry, IL 60050-7002 | 2005-07-07 |
1063066124 | Lindsay Ann Mattes | Nurse Practitioner | 3901 Mercy Dr, Mchenry, IL 60050-3151 | 2019-07-27 |
1083103568 | Katarzyna Maria Brozek | Nurse Practitioner | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2018-05-09 |
1912429051 | Erin Rizzo | Nurse Practitioner | 4309 W Medical Center Dr, Mchenry, IL 60050-8419 | 2017-07-11 |
1760866784 | Janaies Joseph | Nurse Practitioner | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2015-07-20 |
1861814535 | Shenelle Acoy | Nurse Practitioner | 4309 W Medical Center Dr, Ste A102, Mchenry, IL 60050-8419 | 2014-01-14 |
1447511944 | Izabela Maria Dalla Valle | Nurse Practitioner | 3901 Mercy Dr, Mchenry, IL 60050-3151 | 2012-05-31 |
1033392857 | Josette Dutcher | Nurse Practitioner | 3925 W Elm St, Mchenry, IL 60050-4361 | 2007-12-14 |
1124145032 | Laura Beamer | Nurse Practitioner | 4305 W Medical Center Dr, Mchenry, IL 60050-8425 | 2007-03-23 |
Find all providers in MCHENRY |
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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.