Joy Minden Mattick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L650036 Issued in MN

Practice address

457 Stonewood LN
Burnsville, MN 55306-2503

Phone

(612) 227-6569

NPI assigned

Feb 6, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1296950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296950400000",
    "number": "1447556683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 STONEWOOD LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553062503",
            "telephone_number": "612-227-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 STONEWOOD LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553062503",
            "telephone_number": "612-227-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICK",
        "first_name": "JOY",
        "middle_name": "MINDEN",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-06",
        "last_updated": "2011-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L650036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nessa Elyssa Mathew
• Jeffrey Ryan Mathews, PT
• Aric Anthony Mathias, CMT
• Margaret Elizabeth Mathison, PA-C
• Musay Millione Matiyas
• Robert Mattioli, OD
• Brianna Faith Matychuk
• Daniel Nelson Maughan, D.C.
• Christine Mazanec, RN
• Anya Mazar

• Licensed Practical Nurse in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2011; 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.