Active NPI
Jamie Matta, RN, BSN
- School Registered Nurse
- Covington, LA
National Provider Identifier
1316683709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN121986
- Practice address
- 321 N Theard St
Covington, LA 70433-2835 - Phone
- (985) 892-2276
- NPI assigned
- May 9, 2022
- Last updated
- May 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN121986 | LA | Primary |
Addresses
Primary practice location
321 N Theard St
Covington, LA 70433-2835
Mailing address
146 Reiher Rd
Mandeville, LA 70471-7261
Phone (985) 264-3875
Other practice location 1
63000 Blue Marlin Dr
Mandeville, LA 70448-7305
Phone (985) 951-8088 ext. 4266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN121986 | LA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1316683709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 REIHER RD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704717261",
"telephone_number": "985-264-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N THEARD ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704332835",
"telephone_number": "985-892-2276"
}
],
"practiceLocations": [
{
"address_1": "63000 Blue Marlin Dr",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "704487305",
"country_code": "US",
"telephone_number": "985-951-8088 x4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTA",
"first_name": "JAMIE",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "LA",
"license": "RN121986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.