Salia Mattison

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9351557 Issued in FL

Practice address

3400 Quadrangle Blvd
Orlando, FL 32817

Phone

(407) 266-3627

Fax

(407) 882-4799

NPI assigned

Mar 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Salia McMillan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Peachtree Orthopaedic Clinic PA

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1811912611
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1659679462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32817",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 W Hwy 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347113027",
            "country_code": "US",
            "telephone_number": "352-394-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "SALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN176496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9351557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024674400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALIA",
            "last_name": "MCMILLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerald R Mattia, D.C.
• Paulette Mary Mattia, B.S., D.C.
• Kyla Nicole June Mattingly
• Tod Alan Mattis, M.D.
• Kenneth Mattison, CRNA
• Penn L Mattox, PA-C
• Kary Constance Mattson
• Sara Mattson
• Rachel Mattsson
• Skyler Ashleigh Matulis, BT

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.