Lorraine Florence Mattingly, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0010062-NP Issued in CO

Practice address

7222 Commerce Center Dr Ste 220
Colorado Springs, CO 80919-2631

Phone

(719) 650-0438

Fax

(719) 418-2276

NPI assigned

Apr 1, 2010

Last updated

Mar 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Calming Waters Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1710688171
  Authorized official Same address or phone
• Regents of the University of Colorado

  dba UCCS HealthCircle

  • Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1801226048

  Single Specialty

  NPD

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1629393640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192631",
            "telephone_number": "719-650-0438",
            "fax_number": "719-418-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192631",
            "telephone_number": "719-650-0438",
            "fax_number": "719-418-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 Kelly Johnson Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203947",
            "country_code": "US",
            "telephone_number": "719-495-3359",
            "fax_number": "719-691-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "LORRAINE",
        "middle_name": "FLORENCE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2023-03-12",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0010062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0010062-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000147753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilfred John Matthews Jr., DMD
• Wynter Matthews
• Moina Rose Matthias, COTA
• Carly Irene Mattice
• Siteris Mattie - Stanley
• Alexandria Mattix
• Michael Mattos
• Taylor Mattox
• Scott W Mattsson, MD
• Karen Diane Matuska, MA, LPC

• Psychiatric/Mental Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.