JENNIFER LYNN MATEY (NPI# 1174992648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174992648 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN MATEY |
| Credential | PA-C |
| Practice Address |
305 Memorial Medical Pkwy Suite 501 Daytona Beach FL 32117-5168 |
| Practice Telephone | 3866150900 |
| Practice Fax Number | 3866150902 |
| Mailing Telephone | 3866150900 |
| Mailing Fax Number | 3866150902 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108982 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 MEMORIAL MEDICAL PKWY SUITE 501 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838545 | Christopher Allen Grove | Surgery | 305 Memorial Medical Pkwy, Suite 201, Daytona Beach, FL 32117-5168 | 2005-08-15 |
| 1366077158 | Tom Vansteenkiste | Physical Therapist | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2020-03-12 |
| 1104301985 | Erika Roach | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2018-09-27 |
| 1033635271 | Eric Lup-sing Lo M. D., P.a. | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2017-08-18 |
| 1366991812 | Melissa Renae Clegg | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2016-09-26 |
| 1508218454 | Sherida Ann Hahn | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 502, Daytona Beach, FL 32117-5168 | 2016-07-04 |
| 1538537378 | Adam Bergin | Physician Assistant | 305 Memorial Medical Pkwy, Suite 206, Daytona Beach, FL 32117-5168 | 2015-09-10 |
| 1740559855 | Cardiology Physicians Memorial, LLC | Internal Medicine | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2011-12-19 |
| 1346527470 | M I Lopez Md, Pa | Clinic/Center | 305 Memorial Medical Pkwy, Suite 303, Daytona Beach, FL 32117-5168 | 2011-11-03 |
| 1659658771 | Maria Isabel Lopez, Md, Pa | Clinic/Center | 305 Memorial Medical Pkwy, Suite 303, Daytona Beach, FL 32117-5168 | 2011-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144490 | Margaux Hill | Physician Assistant | 311 N Clyde Morris Blvd Ste 560, Daytona Beach, FL 32114-2766 | 2012-05-01 |
| 1700092095 | Gail Jean Wall | Physician Assistant | 431 South Keech Street, Halifax Health Keech Center, Daytona Beach, FL 32114-4623 | 2007-05-15 |
| 1700846912 | Gerald Siennicki | Physician Assistant | 350 N Ridgewood Ave, Daytona Beach, FL 32114 | 2006-03-23 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| 1063929123 | Jorge Alberto Navarro | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2018-01-10 |
| 1174066427 | Ryan Skerbetz | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2016-11-18 |
| 1902281389 | Amy Rutherford | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2015-07-27 |
| 1881001162 | Kimberly W Stackpole | Physician Assistant | 311 N Clyde Morris Blvd, Suite 320, Daytona Beach, FL 32114-2781 | 2014-07-17 |
| 1992147771 | Jeremy Brenner | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-22 |
| 1750723581 | Kathryn Martin | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-22 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on JENNIFER LYNN MATEY.
| 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.