MR. MATTHEW W PRITIKIN (NPI# 1942838412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942838412 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW W PRITIKIN |
| Credential | RN |
| Practice Address |
1316 Sw Babcock Ave Port Saint Lucie FL 34953-7303 |
| Practice Telephone | 9547010478 |
| Mailing Telephone | 9547010478 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 9372893 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BOARD OF HEALTH/NURSING | 9372893 | 01 |
| Street Address |
1316 SW BABCOCK AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34953-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534205 | Shannon Louise Schaal | Registered Nurse | 3974 Sw Wycoff St, Port Saint Lucie, FL 34953-5314 | 2020-07-03 |
| 1891265419 | Lorna D Richardson | Registered Nurse | 2632 Sw Fair Isle Rd, Port Saint Lucie, FL 34987-2094 | 2018-11-26 |
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1083118301 | Joy Hertrich | Registered Nurse | 862 Sw Carmelite St, Port Saint Lucie, FL 34983-1830 | 2018-03-21 |
| 1629580519 | Bridgett M. Johnson | Registered Nurse | 11403 Sw Kingslake Cir, Port Saint Lucie, FL 34987-2766 | 2017-10-31 |
| 1104289008 | Sophia Adams | Registered Nurse | 691 Sw Jaffe Ave, Port Saint Lucie, FL 34953-6438 | 2016-03-30 |
| 1063871341 | Kristina Clark | Registered Nurse | 1631 Nw Saint Lucie West Blvd Ste 208, Port Saint Lucie, FL 34986-1963 | 2016-02-16 |
| 1063855039 | Terryann Mahabir | Registered Nurse | 443 Sw Talquin Ln, Port Saint Lucie, FL 34986-2063 | 2013-04-09 |
| 1871841601 | Marie Jorda | Registered Nurse | 5150 Nw Milner Road, Port Saint Lucie, FL 34983 | 2012-08-28 |
| 1710217625 | Cindy Ramaker | Registered Nurse | 5365 Nw North Lanett Cir, Port Saint Lucie, FL 34986-2748 | 2009-12-29 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on MR. MATTHEW W PRITIKIN.
| 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.