Active NPI
Amy Mattila
- Health Educator
- Saint Paul, MN
National Provider Identifier
1508231697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 300 Broadway St
#202
Saint Paul, MN 55101-1440 - Phone
- (612) 788-4304
- NPI assigned
- Dec 1, 2015
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
300 Broadway St
#202
Saint Paul, MN 55101-1440
Mailing address
300 Broadway St
#202
Saint Paul, MN 55101-1440
Phone (612) 788-4304
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1508231697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BROADWAY ST",
"address_2": "#202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011440",
"telephone_number": "612-788-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BROADWAY ST",
"address_2": "#202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011440",
"telephone_number": "612-788-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTILA",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.