LINDSAY MICHELLE MATTESON


Address: 304 N Mikey Mantel Blvd, Commerce, OK 74339
Phone: 9186754100

LINDSAY MICHELLE MATTESON (NPI# 1275024390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275024390
Entity Type Individual
Full Name LINDSAY MICHELLE MATTESON
Practice Address 304 N Mikey Mantel Blvd
Commerce
OK 74339
Practice Telephone 9186754100
Mailing Telephone 9186754100
Enumeration Date 2018-05-24
Last Update Date 2018-05-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 304 N MIKEY MANTEL BLVD
City COMMERCE
State OK
Zip Code 74339

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811368863 Michelle Deshazer Registered Nurse 124 N Mickey Mantle Blvd, Commerce, OK 74339-1106 2015-10-16
1336346279 Northeastern Oklahoma Council On Alcoholism, Inc. Substance Abuse Rehabilitation Facility 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 2007-07-02
1487014486 Melissa Botts Counselor 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 2016-03-03
1508226648 Lisha Lancaster Counselor 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 2016-03-02
1518324227 Santiago Rodriguez Counselor 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 2016-01-26
1245696756 Greg Fent Counselor 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 2016-01-13
1417058470 Eastwood Manor, LLC Nursing Facility/Intermediate Care Facility 519 N Mickey Mantle Blvd, Commerce, OK 74339-1127 2006-09-25
1104054725 Commerce Public Schools Local Education Agency (LEA) 217 Commerce St, Commerce, OK 74339-2200 2009-06-23
1467941690 Keisha Jane Miller Peer Specialist 304 Commerce St, Commerce, OK 74339-2408 2018-05-03
1114370996 Dayspring Community Services Community/Behavioral Health 900 A St, Commerce, OK 74339-2607 2016-07-18
Find all providers in zip 74339

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467941690 Keisha Jane Miller Peer Specialist 304 Commerce St, Commerce, OK 74339-2408 2018-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972537 Tamra Lynn Cunningham Peer Specialist 764 Sherwin Ave, Ponca City, OK 74604-6112 2020-11-05
1699375691 Martha Isabel Zapata Peer Specialist 5740 E 72nd Ct, Tulsa, OK 74136-7202 2020-10-28
1376143883 Tina Marie Lopez Peer Specialist 933 N Oak St, Ponca City, OK 74601-3218 2020-10-26
1518566264 Vincent Oaks Cox Peer Specialist 3585 S 439, Pryor, OK 74361-9346 2020-10-23
1558960146 Sarah Elizabeth Walters Peer Specialist 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 2020-10-23
1861091548 Ryan Vanmeter Peer Specialist 1965 Ladera Ln, Edmond, OK 73034-9787 2020-10-22
1255930038 Brandon Loyd Hopkins Peer Specialist 446 S Scraper St, Vinita, OK 74301-4250 2020-10-22
1225637366 Crystal Dawn Adams Peer Specialist 200 N Sante Fe Ave, Bartlesville, OK 74003 2020-10-20
1194324491 Judith Anne Young Peer Specialist 3934 Se 27th St, Del City, OK 73115-2620 2020-10-19
1407455892 Kristen Michelle Stock Peer Specialist 804 N Dryden Cir, Stillwater, OK 74075-7108 2020-10-18
Find all providers with the same taxonomy

Competitor

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City COMMERCE
Zip Code 74339

Improve Information

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Dataset Information

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.

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