LYNNETTE M MATTESON (NPI# 1497124192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497124192 |
| Entity Type | Individual |
| Full Name | LYNNETTE M MATTESON |
| Credential | NP |
| Practice Address |
611 E Main Street Suite 110 Petersburg IN 47567-1270 |
| Mailing Address |
611 E Main St Suite 110 Petersburg IN 47567-1270 |
| Practice Telephone | 8123548426 |
| Practice Fax Number | 8123549134 |
| Mailing Telephone | 8123548426 |
| Mailing Fax Number | 8123549134 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71005820A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201322180 | 05 | |
| IN | ANTHEM | 000000984156 | 01 |
| Street Address |
611 E MAIN STREET SUITE 110 |
| City | PETERSBURG |
| State | IN |
| Zip Code | 47567-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982825220 | Pike County School Corp | Local Education Agency (LEA) | 907 Walnut Street, Petersburg, IN 47567 | 2007-05-02 |
| 1689770083 | Little Company of Mary Hospital of Indiana, Inc | Clinic/Center | 1003 E Illinois St, Petersburg, IN 47567 | 2006-09-15 |
| 1174700876 | Renee Abrassart Ramsey | Optometrist | 102 S 2nd St, Petersburg, IN 47567 | 2008-01-24 |
| 1205009206 | Greene Specific Chiropractic Clinic PC | Chiropractor | 712 E Main St, Petersburg, IN 47567-1231 | 2008-04-10 |
| 1821200460 | Robert C Greene | Chiropractor | 712 E Main St, Petersburg, IN 47567-1231 | 2007-05-04 |
| 1407005937 | Amber D Russell | Social Worker | 400 E Main St, Petersburg, IN 47567-1245 | 2008-09-09 |
| 1437195559 | Deborah Kay Terrell | Registered Nurse | 400 E Main St, Petersburg, IN 47567-1245 | 2006-06-20 |
| 1801873278 | Betty L Harper | Social Worker | 400 E Main St, Petersburg, IN 47567-1245 | 2005-12-28 |
| 1144388505 | Daviess County Hospital | Clinic/Center | 611 E Main St, Petersburg, IN 47567-1247 | 2006-12-05 |
| 1417048281 | Renee T Abrassant Ramsey | Optometrist | 601 E Main St, Petersburg, IN 47567-1247 | 2006-09-27 |
| Find all providers in zip 47567 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1780800300 | Terry M Tuck | Nurse Practitioner | 2820 Normandy Dr, Petersburg, VA 23805-9372 | 2007-04-18 |
| 1699245068 | Lindsay Ann Morris | Nurse Practitioner | 40 Medical Park Blvd Ste D, Petersburg, VA 23805 | 2018-11-28 |
| 1578081345 | Alexandria Jo Carie-kroeger | Nurse Practitioner | 106 W Pike Ave, Petersburg, IN 47567-8750 | 2017-08-31 |
| 1528420544 | Jaimie Sarcon Tahir | Nurse Practitioner | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2016-03-28 |
| 1346683182 | Brenna B Bohatec | Nurse Practitioner | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-9338 | 2013-04-11 |
| 1063727204 | Nicole L Stevenson | Nurse Practitioner | 1003 E Illinois St, Petersburg, IN 47567-8068 | 2010-08-12 |
| 1437300043 | Menard Medical Center, LLC | Nurse Practitioner | 1 Centre Dr, Petersburg, IL 62675-9467 | 2008-10-02 |
| 1750545281 | Kathyrn Scribner | Nurse Practitioner | 44 Medical Park Blvd, Suite A, Petersburg, VA 23805-9349 | 2008-07-14 |
| 1295951804 | Catherine E Cheek | Nurse Practitioner | 301 Halifax St, Petersburg, VA 23803-6335 | 2007-04-18 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 47567 |
Please comment or provide details below to improve the information on LYNNETTE M MATTESON.
| 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.