MRS. SARAH JO MATA (NPI# 1417329129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417329129 |
| Entity Type | Individual |
| Full Name | MRS. SARAH JO MATA |
| Credential | NP-C |
| Practice Address |
1412 N 2nd St Atchison KS 66002-1203 |
| Practice Telephone | 9133674879 |
| Practice Fax Number | 9133600240 |
| Mailing Telephone | 9133674879 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
76975 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201125060A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841763802 | Sarah Vanessa Mata | Counselor | 47915 Oasis St, Indio, CA 92201-6950 | 2019-01-02 |
| Street Address |
1412 N 2ND ST |
| City | ATCHISON |
| State | KS |
| Zip Code | 66002-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570976 | Kristy Kunkel | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2006-03-08 |
| 1801410873 | Jordan Hummelgard | Dentist | 1412 N 2nd St, Atchison, KS 66002-1203 | 2020-06-04 |
| 1245739127 | Hollie Marie Williams | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2018-02-07 |
| 1164938122 | Rachel G Nelson | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2017-12-28 |
| 1609221803 | Tara Ann Fields | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2016-04-26 |
| 1598105470 | Elizabeth Lynn Gilbert | Psychologist | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-06-25 |
| 1700123361 | Melissa June Wolfe | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-01-15 |
| 1407108335 | Atchison Community Health Clinic, Inc. | Clinic/Center | 1412 N 2nd St, Atchison, KS 66002-1203 | 2012-10-02 |
| 1215207402 | Jill K Blake | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2012-01-05 |
| 1538370291 | Jacqulene Harris | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231312 | Atchison Dental Associates 2 Pa | Dentist | 111 North 5th Street, Atchison, KS 66002 | 2018-07-02 |
| 1730614918 | Marilyn Franck Glenn | Counselor | 107 N. 6th St., Suite #4, Atchison, KS 66002 | 2017-04-26 |
| 1508299108 | Rachel Dawn Gauntt Weaver | Social Worker | 2135 Main Street, Atchison, KS 66002 | 2013-08-19 |
| 1154660520 | Melinda Pregont | Chiropractor | 310 Commercial Street, Atchison, KS 66002 | 2013-02-05 |
| 1265711675 | Atchison Community Health Clinic Inc | Dentist | 1412 North 2nd St., Atchison, KS 66002 | 2011-08-16 |
| 1093031585 | Pamela Jane Rizza | Family Medicine | 810 Ravenhill Drive, Atchison, KS 66002 | 2010-04-09 |
| 1730410002 | Kansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 400 South 10th Street, Atchison, KS 66002 | 2010-01-26 |
| 1679785893 | John M Speckhals | Counselor | 1301 N 2nd Street, Atchison, KS 66002 | 2007-05-03 |
| 1134284680 | County of Atchison | Nursing Care | 1419 North 6th, Atchison, KS 66002 | 2006-12-26 |
| 1437218351 | Mandy Kay Uhler | Psychologist | 1301 N 2nd, Atchison, KS 66002 | 2006-12-06 |
| Find all providers in zip 66002 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739127 | Hollie Marie Williams | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2018-02-07 |
| 1720476559 | Latitia Ann Guthals | Nurse Practitioner | 800 Ravenhill Dr, Atchison, KS 66002-9204 | 2015-01-01 |
| 1184041964 | Adam Zerr | Nurse Practitioner | 810 Raven Hill Drive, Atchison, KS 66002 | 2014-03-18 |
| 1700123361 | Melissa June Wolfe | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
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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.