Tahlor E Mattison, CTD

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

193200000X Issued in IL

Practice address

15774 S la Grange Rd Ste 272
Orland Park, IL 60462-4766

Phone

(312) 478-2144

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By 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 3

Addresses

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1235694126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BRENNER CT",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604114623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15774 S LA GRANGE RD STE 272",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "telephone_number": "312-478-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "TAHLOR",
        "middle_name": "E",
        "credential": "CTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "193200000X",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IL",
            "license": "193200000X",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "193200000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Master Home Therapy & Transport Services
• Maternal Fetal Medicine Consultants of Il, PC
• Amedee Charles Mathelier, MD
• Samuel P Mathew, MD
• Vilma Matthews
• Joy Mattson-Petrusha, RD
• Erin Elizabeth Mattucci, LCSW
• Lisa Anne Matys, M,S.
• Stephen D Matz, MS, CRNA
• Sherri Maupin-Szweda, MOT, OTR/L

• Health Educator in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Health Educator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.