Jonelle A Mattis, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9312189 Issued in FL

Practice address

8201 Peters Rd Ste 1000
Plantation, FL 33324-3266

Phone

(877) 964-9378

NPI assigned

Aug 10, 2017

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jmattis75215@direct.med.miami.edu

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1003331133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 NW 34TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195702",
            "telephone_number": "754-422-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD STE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243266",
            "telephone_number": "877-964-9378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4430 NW 34th St",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333195702",
            "country_code": "US",
            "telephone_number": "754-422-2484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "JONELLE",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9312189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Mathos
• Matmed LLC (Miami Wellness)
• Jane Evelyn Matos-Fraebel, MD
• Matthew K J Lim MD PA
• Quinten P Matthews, DPM
• Stacey Mattocks
• Robert Matturro II, DC
• Andressa Maria Correia Mauriello, LMHC
• Caitlin V. Maus, CRNA
• Maya Vision Center, Inc.

• Family Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.