Nancy T Mathew

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 9224097 Issued in FL

Practice address

9834 Pine Leaf Lane
Dade City, FL 33525

Phone

(813) 469-9348

NPI assigned

Oct 26, 2016

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

• Miss Nancy George Mattamana Former 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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1477005452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12848 AMBER RENEE LN APT 102",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258493",
            "telephone_number": "813-469-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 PINE LEAF LANE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33525",
            "telephone_number": "813-469-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "NANCY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9224097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MATTAMANA",
            "middle_name": "GEORGE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Michael Lustig, M.D.
• Behrouz Madani, M.D.
• Michael L Maggard, O.D.
• Emad Mansour
• James Edward Martinez, RPH
• Stephanie Mathis, MSN, FNP-BC
• Roderick Maul, RCSWI
• Margaret Mauricio, DDS
• McBath Medical Center PA
• Kyra Michelle McGee, RBT

• Family Nurse Practitioner in Dade City, FL
• Providers in Dade City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.