NICHOLE MATTISON (NPI# 1477099026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477099026 |
| Entity Type | Individual |
| Full Name | NICHOLE MATTISON |
| Practice Address |
1180 Oak St Baldwin WI 54002 |
| Practice Telephone | 7152222837 |
| Mailing Telephone | 7152222837 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 405708 | MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1180 OAK ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215266994 | Alysen Lin | Radiologic Technologist | 920 Jefferson St, Baldwin, NY 11510-4743 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659761989 | Jacqueline Denise Dawsey | Radiologic Technologist | 3407 N 8th St, Milwaukee, WI 53206-2806 | 2015-01-26 |
| 1538339189 | Adam E Rappe | Radiologic Technologist | 2422 N Buffum St, Milwaukee, WI 53212-2902 | 2008-03-10 |
| 1902385628 | Jodie Marie Daley | Radiologic Technologist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2018-08-13 |
| 1124565981 | Gina Cifaldi | Radiologic Technologist | 2626 N 76th St, Wauwatosa, WI 53213-1137 | 2017-01-31 |
| 1336405893 | Gregory Alan Lehman | Radiologic Technologist | 11040 N State Road 77, Hayward, WI 54843-6391 | 2012-04-09 |
| 1487885208 | Columbia Community Physicians | Radiologic Technologist | 2311 N Prospect Ave, Milwaukee, WI 53211-4445 | 2009-07-28 |
| 1649468265 | Lacey E Kraack | Radiologic Technologist | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-10-09 |
Please comment or provide details below to improve the information on NICHOLE 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.