AMY LYNN MATTSON


Address: 322 Dewitt St, Portage, WI 53901-2114
Phone: 6082802700

AMY LYNN MATTSON (NPI# 1962947515) 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) 1962947515
Entity Type Individual
Full Name AMY LYNN MATTSON
Credential R.N.
Practice Address 322 Dewitt St
Portage
WI 53901-2114
Mailing Address 25 Kessel Ct
Suite 105
Madison
WI 53711-6227
Practice Telephone 6082802700
Enumeration Date 2017-01-05
Last Update Date 2017-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 164551-30 WI Nursing Service Providers

Other Providers AMY MATTSON

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1740308204 Amy Mattson Physical Therapy Assistant 96 Croix St, Apt. 5, Negaunee, MI 49866-1157 2007-03-26
1932741113 Amy Corryn Mattson Pharmacist 4744 Lankershim Blvd, North Hollywood, CA 91602-1833 2019-10-09

Office Location

Street Address 322 DEWITT ST
City PORTAGE
State WI
Zip Code 53901-2114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952654162 Kristin Ranum Social Worker 322 Dewitt St, Portage, WI 53901-2114 2012-10-25
1407489917 Olivia Kessler Counselor 322 Dewitt St, Portage, WI 53901-2114 2020-02-13
1760031926 Angela Marie Gray Registered Nurse 322 Dewitt St, Portage, WI 53901-2114 2019-09-10
1497301790 Rachel Morris Case Manager/Care Coordinator 322 Dewitt St, Portage, WI 53901-2114 2019-08-13
1609361401 Deanna Lynn Houck I Case Manager/Care Coordinator 322 Dewitt St, Portage, WI 53901-2114 2018-06-25
1740778935 Sarah Lynn Niles Social Worker 322 Dewitt St, Portage, WI 53901-2114 2018-04-24
1659890416 Stacy Marie Carlson Counselor 322 Dewitt St, Portage, WI 53901-2114 2017-09-13
1558896654 Jessica Sailor Counselor 322 Dewitt St, Portage, WI 53901-2114 2017-04-26
1649705740 Lindsay Woodbridge Counselor 322 Dewitt St, Portage, WI 53901-2114 2017-04-26
1295273068 Theresa Tonn Case Manager/Care Coordinator 322 Dewitt St, Portage, WI 53901-2114 2017-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740710748 Robert James Corliss Internal Medicine St. Vincent Fmc, 140east Cook St., Portage, WI 53901 2017-06-13
1639328867 Casey Jo Ambort Speech-Language Pathologist 626 East Slifer St, Portage, WI 53901 2008-09-11
1871767400 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 132 W. Cook St., Portage, WI 53901 2008-04-15
1881872158 Marta Jean Jindra Physical Therapist 626 E Slifer Street, Portage, WI 53901 2008-02-08
1699953976 Lana Marie Edwards Speech-Language Pathologist 626 East Slifer Street, Portage, WI 53901 2008-02-08
1134314552 Kristina Hellenbrand Physical Therapist 2639 New Pinery Road, Suite 2, Portage, WI 53901 2007-09-10
1689727810 Gregory Allan Bindl Chiropractor 2121new Pinery Rd, Portage, WI 53901 2007-01-19
1720149156 Timothy J Rosin Dds Sc Dentist 2570 New Pinery Rd, Portage, WI 53901 2006-12-12
1710083779 Currani Seubert Dental Office LLC Dentist 260 W Cook St, Portage, WI 53901 2006-09-16
1225090525 University of Wisconsin Medical Foundation Inc Durable Medical Equipment & Medical Supplies 2977 Cty Hwy Cx, Portage, WI 53901 2006-04-04
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700376498 Linda Dorbin Registered Nurse 10071 Portage Rd, Portage, MI 49002-7249 2018-05-17
1770088585 Deborah J Dorsch Registered Nurse 6212 Us Highway 6 # 195, Portage, IN 46368-5057 2018-03-26
1225582919 Pamela Collier Registered Nurse 2616 Bach Ave, Portage, MI 49024-6604 2016-08-10
1366802399 Teresa Hegwood Registered Nurse 6527 Westchester St, Portage, MI 49024-3260 2016-03-03
1154791887 Meghann Faye Martus Registered Nurse 5433 Fitz Ave, Portage, IN 46368-1414 2015-10-07
1972989044 Deborah Sue Heiser Registered Nurse 2018 Fairfield Rd, Portage, MI 49002-1546 2015-07-30
1215322805 Emily Eliza Pyne Registered Nurse 10165 Lloy St, Portage, MI 49024-6834 2015-04-01
1083004097 Rachel Mol Registered Nurse 3026 Witters Ct, Portage, MI 49024-6656 2015-01-28
1194077131 Laurie Linzing Registered Nurse 614 W Slifer St Apt 2, Portage, WI 53901-1146 2012-10-14
1407112139 Lenee Powell-wilson Registered Nurse 4619 Fox Valley Dr Apt 2a, Portage, MI 49024-8197 2012-04-06
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Competitor

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City PORTAGE
Zip Code 53901

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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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