MRS. AMY MATTKE


Address: 40156 216th St, Huron, SD 57350-7524
Phone: 1612418240

MRS. AMY MATTKE (NPI# 1467053132) 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) 1467053132
Entity Type Individual
Full Name MRS. AMY MATTKE
Credential RN, IBCLC
Practice Address 40156 216th St
Huron
SD 57350-7524
Practice Telephone 1612418240
Mailing Telephone 1612418240
Enumeration Date 2020-11-08
Last Update Date 2020-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
R040657 SD Nursing Service Providers

Office Location

Street Address 40156 216TH ST
City HURON
State SD
Zip Code 57350-7524

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1437606845 Juliana Janssen Speech-Language Pathologist 1680 Idaho Se, Huron, SD 57350 2016-09-01
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1518370238 Independent Health Solutions LLC Registered Nurse 1143 Lincoln Ave Sw, Huron, SD 57350 2014-06-10
1114232634 J.c. Palmer Hearing Instrument Specialist 264 Kansas Ave. S.e., Huron, SD 57350 2010-08-09
1053584896 Donald Ashley Ferrier Counselor 1734 Mcilvane Ct Sw, Huron, SD 57350 2008-04-11
1679760318 Michael A. Fuchs, D.d.s., P.C. Clinic/Center 530 Iowa Se, Huron, SD 57350 2007-09-26
1245353374 Shelly Fuller Counselor 357 Kansas Se, Huron, SD 57350 2007-04-06
1497870356 Dakota Energy Cooperative Inc Durable Medical Equipment & Medical Supplies 40294 Us Hwy 14, Huron, SD 57350 2007-03-20
1376638684 Reed A Hittle Physical Therapist 530 Iowa Se Suite 105, Huron, SD 57350 2006-10-03
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649526542 Alicia S Fonder Registered Nurse 1707 S 1st Ave, Sioux Falls, SD 57105-1905 2012-07-28
1366771834 Marilyn Therese Hildreth Registered Nurse 4026 Willow Ln, Brookings, SD 57006-7016 2009-12-13

Competitor

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City HURON
Zip Code 57350

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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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