Matesha Fead

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5211371 Issued in FL

Practice address

218 SW Third Ave
Madison, FL 32340-1266

Phone

(860) 973-5000

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anchoring Hands and Hearts Healthcare LLC

  • Developmentally Disabled Services Day Training Agency
  • Greenville, FL
  • NPI 1508710625
  NPD Authorized official

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1497116263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SW THIRD AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW THIRD AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401266",
            "telephone_number": "860-973-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAD",
        "first_name": "MATESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5211371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma's Helping Hands
• Charles Wesley Evans, RPH
• Victory Clairissa Elizabeth Evans, PHARMD
• Falo Hill
• Family First Wellness Clinic, LLC
• Kenol Junior Felix, DDS
• Juanita Webb Fico, ARNP
• Florida Assistant Living Organization, LLC (Florida Assistant Living Organization Hill)
• Florida Assistant Living Organization, LLC
• Florida Assistant Living Organization, LLC (Florida Assistant Living Organization Chateau)

• Licensed Practical Nurse in Madison, FL
• Providers in Madison, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.