MRS. KRISTIE MATOS (NPI# 1417459546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417459546 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIE MATOS |
| Practice Address |
2778 3rd Ave Bronx NY 10455-4029 |
| Mailing Address |
3225 Decatur Ave Apt 2 Bronx NY 10467-4258 |
| Practice Telephone | 7184029000 |
| Mailing Telephone | 6467519856 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
738069 | NY | Nursing Service Providers |
| Street Address |
2778 3RD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10455-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739814 | Daniela Lora | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2019-09-19 |
| 1538640354 | Meredith Vitale Cann | Social Worker | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-08-29 |
| 1518460708 | Paul Spatarella | Social Worker | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
| 1598142572 | James Antoine Beauzile | Registered Nurse | 501 East 161st Street, Apt. 9e, Bronx, NY 10451 | 2015-04-29 |
| 1295078483 | Jericka Daniels | Registered Nurse | 2426 Lurting Ave, Bronx, NY 10469-4404 | 2013-04-05 |
| 1194741769 | Esmine Marcia Mclean | Registered Nurse | 16 Westchester Sq, Bronx, NY 10461-3513 | 2006-07-15 |
| 1497352702 | Shahara Flowers | Registered Nurse | 477 Willis Ave, Bronx, NY 10455-4015 | 2020-10-08 |
| 1376017632 | Ryan Angela Dimayuga | Registered Nurse | 1400 Pelham Parkway South, Bldg 1, 9 West, Bronx, NY 10461 | 2019-01-18 |
| 1003328923 | Iluminada Legaspi | Registered Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-11-01 |
| 1679085930 | Ana Gallardo | Registered Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-10-26 |
| 1467982173 | Nicole Felix II | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2017-06-14 |
| 1669891669 | Adaly Acosta | Registered Nurse | 260 E 161st St, Bronx, NY 10451-3512 | 2014-04-08 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MRS. KRISTIE MATOS.
| 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.