AMANDA MATA (NPI# 1376008557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376008557 |
| Entity Type | Individual |
| Full Name | AMANDA MATA |
| Credential | RN |
| Practice Address |
13305 Reeck Ct Southgate MI 48195-3197 |
| Mailing Address |
6549 Town Center Dr Ste A Clarkston MI 48346-4824 |
| Practice Telephone | 7342252090 |
| Mailing Telephone | 2486206400 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704319275 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174050272 | Amanda Mata | Nurse Practitioner | 100 E Ridge Rd Ste A, Mcallen, TX 78503-1346 | 2017-05-19 |
| Street Address |
13305 REECK CT |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316126824 | Charlotte Beachem | Social Worker | 13305 Reeck Ct, Southgate, MI 48195 | 2007-10-31 |
| 1649887910 | Hannah M. Stawkey | Social Worker | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2020-09-30 |
| 1235753500 | Cortney Ball | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2020-06-03 |
| 1801435664 | Hanna Reed | Social Worker | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-12-27 |
| 1912548231 | Jacqueline Sandra Emmons | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-10-08 |
| 1205481264 | Tasha Jackson | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-08-07 |
| 1437701992 | Emily Wezner | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-07-15 |
| 1013579390 | Caitlin Witt | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-07-08 |
| 1912464181 | Ashlee Norman | Social Worker | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-02-25 |
| 1437613353 | Daniel Jones | Social Worker | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1205394434 | Nicole Ezell | Registered Nurse | 13352 Argyle St, Southgate, MI 48195-1249 | 2019-03-06 |
| 1891296596 | Rose Shikhule | Registered Nurse | 13501 Village Square Dr, Southgate, MI 48195-3420 | 2018-02-27 |
| 1629521299 | Kelley Kurtinaitis | Registered Nurse | 13305 Reeck Rd, Southgate, MI 48195-3197 | 2016-07-29 |
| 1649675265 | Nichole Launders | Registered Nurse | 13535 Rosedale St, Southgate, MI 48195-1732 | 2014-10-24 |
| 1831362029 | Cynthia Turner | Registered Nurse | 13495 Longtin St, Southgate, MI 48195-1808 | 2008-04-08 |
| 1922526029 | Annett Uduji | Registered Nurse | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2017-09-08 |
| 1134572480 | Lakisha Walston | Registered Nurse | 13101 Allen Rd Bldg 4, Southgate, MI 48195-2216 | 2016-07-21 |
| 1871957985 | Natisha Irene Clark | Registered Nurse | 15150 Fort St, Southgate, MI 48195-1302 | 2016-04-06 |
| 1881057396 | Carole Ann Christie | Registered Nurse | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2016-04-01 |
| 1629434527 | Kathleen Marie Gibson | Registered Nurse | 13101 Allen Rd, Southgate, MI 48195-2216 | 2016-01-07 |
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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.