CRISTINE MATTIS


Address: 10512 Park Rd, Suite # 113, Charlotte, NC 28210-8475
Phone: 7045418207

CRISTINE MATTIS (NPI# 1356583678) 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) 1356583678
Entity Type Individual
Full Name CRISTINE MATTIS
Credential ARNP-C
Practice Address 10512 Park Rd
Suite # 113
Charlotte
NC 28210-8475
Mailing Address Po Box 36488
Charlotte
NC 28236-6488
Practice Telephone 7045418207
Practice Fax Number 7045408288
Mailing Telephone 7042483400
Mailing Fax Number 7043378387
Enumeration Date 2009-04-01
Last Update Date 2009-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 224739 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
2831582 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10512 PARK RD
SUITE # 113
City CHARLOTTE
State NC
Zip Code 28210-8475

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184614448 David N Ugland Ophthalmology 10512 Park Rd, Suite 200, Charlotte, NC 28210-8475 2005-10-26
1326414137 Tammy Faw-severeide Nurse Practitioner 10512 Park Rd, Ste 101, Charlotte, NC 28210-8473 2015-08-16
1801289913 Amanda Linch Dmd & Michael Reimels Dds Pllc Dentist 10512 Park Rd, Suite 100, Charlotte, NC 28210-8475 2015-03-13
1184961435 Kirstyn Lee Vega Physician Assistant 10512 Park Rd, Suite 113, Charlotte, NC 28210-8475 2013-01-07
1790033728 Surgical Specialists of Charlotte, Pa-pineville Surgery 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 2012-08-23
1912278623 Laurie Lizbeth James Specialist/Technologist 10512 Park Rd, Suite 209, Charlotte, NC 28210-8475 2012-01-26
1033480462 Paul R Steadman General Practice 10512 Park Rd, Suite 111, Charlotte, NC 28210-8475 2012-01-17
1194001545 Amanda Maria Holt Nurse Practitioner 10512 Park Rd, Suite 210, Charlotte, NC 28210-8475 2011-10-31
1144524190 South Charlotte General and Vascular Surgery Pllc Surgery 10512 Park Rd, Suite 111, Charlotte, NC 28210-8475 2011-01-05
1700110814 Rachelle M. Eiden Physician Assistant 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 2009-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952920860 Rx Care 14 LLC Pharmacy 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 2020-04-10
1427697622 David Durant Dinsmore Nurse Anesthetist, Certified Registered Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 2020-01-06
1790256964 Tele Phys Inc Internal Medicine 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 2018-12-16
1104395896 Bridgett Williams Behavior Technician 7806 Andover Woods Drive, Charlotte, NC 28210 2018-11-26
1053880518 Low-t Physicians Professional Association Internal Medicine 10430 Park Road Suite 100a, Charlotte, NC 28210 2018-11-14
1053895102 Carolinas Medical Equipment LLC Durable Medical Equipment & Medical Supplies 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 2018-09-24
1679066658 Afc Urgent Care and Family Care of Wnc, Pllc Clinic/Center 10102 Johnston Rd, Charlotte, NC 28210 2018-06-13
1346777018 Hopeway Foundation Clinic/Center 1717 Sharon Road West, Charlotte, NC 28210 2017-05-12
1891154688 Jessie Lee Ogienko Social Worker 5960 Fairview Rd Ste 328, Charlotte, NC 28210 2016-02-22
1699151985 Carolina Complete Psychiatry, Pllc Physician Assistant 5950 Fairview Road, Suite 708, Charlotte, NC 28210 2015-08-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544986 Tonya Lynn Burris Nurse Practitioner 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 2020-09-28
1003428293 Kashari Davis Nurse Practitioner 4252 Sutwick Dr, Charlotte, NC 28269-6001 2020-08-19
1457972796 Lindsey O'brien Nurse Practitioner 3423 Hornets Nest Way, Charlotte, NC 28208-5224 2020-04-28
1285254904 Barbara Ballard Nurse Practitioner 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 2020-04-22
1710506787 Lindsey Delcasino Plair Nurse Practitioner 1212 South Blvd, Charlotte, NC 28203-4215 2020-04-10
1457991275 Advanced Physical Medicine Nurse Practitioner 8821 University East Dr # 120, Charlotte, NC 28213-4200 2020-01-09
1700447562 Milford Darnell George Jr. Nurse Practitioner 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 2019-06-24
1194288241 Tonya Denise Farmer Nurse Practitioner 620 Tom Hunter Road, Charlotte, NC 28213 2019-04-06
1649738204 Brittany Schmalfeld Nurse Practitioner 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 2019-03-03
1407313703 Natalie Ann Bullock Nurse Practitioner 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 2019-02-23
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Competitor

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City CHARLOTTE
Zip Code 28210

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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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