MRS. PATTI MATALONE (NPI# 1225455009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225455009 |
| Entity Type | Individual |
| Full Name | MRS. PATTI MATALONE |
| Other Name | PATTI BLOOM |
| Practice Address |
4646 N Shallowford Rd Atlanta GA 30338-6308 |
| Mailing Address |
3111 Queens Walk Ne Atlanta GA 30345-2165 |
| Practice Telephone | 7706766000 |
| Practice Fax Number | 7703929805 |
| Mailing Telephone | 7709381416 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN-076489 | GA | Nursing Service Providers |
| Street Address |
4646 N SHALLOWFORD RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553278 | Mallory Howe | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1548896780 | Jenna Davis | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1881220010 | Taylor Lee Howell | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1558997791 | Megan Marie Borreson | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2020-03-19 |
| 1942846464 | Katelyn E Atwell | Health Educator | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-11-19 |
| 1992347587 | Regenerative Medical Center, PC | Family Medicine | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-10-15 |
| 1255973046 | Amy Tarquini | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2019-10-13 |
| 1407321334 | Adelena Marie Izold | Naturopath | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2018-10-08 |
| 1437688355 | Loren Kennedy Psalidas | Dietitian, Registered | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2017-06-05 |
| 1295181261 | Progressive Healthcare & Diagnostics, LLC | General Practice | 4646 N Shallowford Rd, Atlanta, GA 30338-6308 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241552 | Sarah J Russell | Registered Nurse | 1365 Clifton Rd Ne # A2, Atlanta, GA 30322-1013 | 2020-10-01 |
| 1285240994 | Cherese Pate | Registered Nurse | 2700 Wolf Lake Dr Sw, Atlanta, GA 30349-8772 | 2020-09-17 |
| 1407460546 | Olivia Simmons | Registered Nurse | 3600 Lake Estates Way, Atlanta, GA 30349-1894 | 2020-09-05 |
| 1972125334 | Julie Caperton | Registered Nurse | 1363 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-05-08 |
| 1316574338 | Sarah Greer Pearson | Registered Nurse | 755 North Ave Ne Apt 2221, Atlanta, GA 30306-4470 | 2020-03-27 |
| 1215562582 | Raja Aaliyha Massey | Registered Nurse | 3896 Princeton Lakes Way Sw, Atlanta, GA 30331-5510 | 2020-03-07 |
| 1477186161 | Alexandria Fawcett Gumucio | Registered Nurse | 2470 Cheshire Bridge Rd Ne Apt 1303, Atlanta, GA 30324-3992 | 2020-02-20 |
| 1366082539 | Gabrielle A Billing Black | Registered Nurse | 550 Peachtree St Ne Fl 3, Atlanta, GA 30308-2212 | 2020-01-15 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1275178915 | Kelly Brooks Macdonald | Registered Nurse | 1856 Perry Blvd Nw, Atlanta, GA 30318-4052 | 2019-11-15 |
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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.