Candace Jean Mattson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

695466 Issued in TX

Practice address

12201 Renfert Way Ste 320
Austin, TX 78758-5372

Phone

(512) 323-5465

Fax

(512) 476-9892

NPI assigned

Aug 29, 2012

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)

Enrolled

State licenses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1649528241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585372",
            "telephone_number": "512-323-5465",
            "fax_number": "512-476-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585372",
            "telephone_number": "512-323-5465",
            "fax_number": "512-476-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "CANDACE",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "695466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Mattingly, LPC
• Kelsie Mattis
• Mary B Mattis, LCSW, LCDC
• Hannah Elise Mattison
• Janice Mattocks, FNP
• Lester Allan Mattson, RPH
• Ivan D. Matula, L.AC., O.M.D.,
• Kathryn Matzdorf, AUD
• John Delmo Matzinger, RPH
• Diane B. Matzner, LPC

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.