NICOLE MATTISON (NPI# 1366859365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366859365 |
| Entity Type | Individual |
| Full Name | NICOLE MATTISON |
| Credential | APRN |
| Practice Address |
4000 Cambridge St Ste 600 Kansas City KS 66160-8262 |
| Mailing Address |
4000 Cambridge St Ste G600 Kansas City KS 66160-8501 |
| Practice Telephone | 9135889600 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-79004 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019038975 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | 53-74753-052 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 E 101st Ter, Kansas City, MO 641313366 | 9135742430 | |
| 10787 Nall Ave Ste 300, Overland Park, KS 662111372 | 9135889400 | |
| 5701 State Ave Ste 300, Kansas City, KS 661021286 | 9139459640 |
| Street Address |
4000 CAMBRIDGE ST STE 600 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245241017 | Marina N Hannen | Internal Medicine | 4000 Cambridge St Ste 600, Kansas City, KS 66160-8500 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
| 1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
| 1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
| 1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
| 1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
| 1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
| 1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
Please comment or provide details below to improve the information on NICOLE MATTISON.
| 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.