Kathleen Mary Mattocks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN153140L Issued in PA

Practice address

2612 E 32ND St
Erie, PA 16510-2706

Phone

(814) 899-1095

NPI assigned

Oct 4, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1598049900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 E 32ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102706",
            "telephone_number": "814-899-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 E 32ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102706",
            "telephone_number": "814-899-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN153140L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas F Matta, PH.D., L.M.F.T.
• Travis S Mattera, L.C.S.W.
• Carolyn M Matthews, PA-C
• Tonya Matthews
• Lawrence James Keith Mattingly, RN
• Michael John Mauro, PT
• Rachel Shopene Mauro, DPT
• Maxim Healthcare Services, Inc.
• Maximal Gain Chiropractic Center, PLLC
• Heidi Marie Maxwell

• Registered Nurse in Erie, PA
• Providers in Erie, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.