Dena Lee Mattice, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN76054 Issued in NV

Practice address

26 Nevin Way
Yerington, NV 89447-2327

Phone

(775) 463-6539

Fax

(775) 463-6534

NPI assigned

Mar 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1396370417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NEVIN WAY",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472327",
            "telephone_number": "775-463-6539",
            "fax_number": "775-463-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 NEVIN WAY",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472327",
            "telephone_number": "775-463-6539",
            "fax_number": "775-463-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICE",
        "first_name": "DENA",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NV",
            "license": "RN76054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Martinez
• Josef Carrol Masini
• Mason Valley Fire and Ambulance
• Mason Valley Physical Therapy, Inc.
• Mason Valley Residence LLC
• Bobby Gene McAnally
• Nataani McCabe
• Joseph McCann
• Shawn McCarty
• Malcolm McCaskill

• Community Health Registered Nurse in Yerington, NV
• Providers in Yerington, NV by specialty
• Community Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.