Patti Matalone

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-076489 Issued in GA

Practice address

4646 N Shallowford Rd
Atlanta, GA 30338-6308

Phone

(770) 676-6000

Fax

(770) 392-9805

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patti Bloom Professional name

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1225455009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 QUEENS WALK NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452165",
            "telephone_number": "770-938-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N SHALLOWFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386308",
            "telephone_number": "770-676-6000",
            "fax_number": "770-392-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALONE",
        "first_name": "PATTI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN-076489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTI",
            "last_name": "BLOOM",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stacy Mastro, APRN
• Saad Y Masud, MD
• Tahsin Masud, M.D.
• Marla Lorena Matal, M.D.
• Frank Matalone, D.O.
• Almea M. Matanock, M.D.
• Judith Mate, LSWAIC
• Asha Mateen
• Cassandra Anna Mateo Robillard
• Elaine F Mateo, M.D. PC

• Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.