Quaniqua Matute-Islam, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

CN0008918328 Issued in GA

Practice address

6653 Eastbriar Dr
Lithonia, GA 30058-8945

Phone

(470) 294-2103

NPI assigned

Apr 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1033852306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 EASTBRIAR DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588945",
            "telephone_number": "470-294-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 EASTBRIAR DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588945",
            "telephone_number": "470-294-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUTE-ISLAM",
        "first_name": "QUANIQUA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CN0008918328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alja@sysmti.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Address",
            "address_1": "6653 Eastbriar Dr",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300588945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila Vernice Mason, OTRL
• Mastermind Counseling Services
• Vivin Mathew, M.D.
• Dileane Matthews, REGISTERED NURSE
• Erica Monique Mattox, P.T.
• Maximum Health Outcomes, Inc
• Mudiwa Irene Faye Hogan Mbele
• Brigette McClammey
• Kiera McClellan
• James E. McClendon, M.D.

• Home Health Aide in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.