Hannah Rae Mattocks, RN, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-3581 Issued in NC

Practice address

1718 Galleria Club LN Apt 213
Charlotte, NC 28270-2538

Phone

(828) 550-1725

NPI assigned

Mar 26, 2018

Last updated

Dec 26, 2021By 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 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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1679078448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 GALLERIA CLUB LN APT 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702538",
            "telephone_number": "828-550-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 GALLERIA CLUB LN APT 213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702538",
            "telephone_number": "828-550-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "HANNAH",
        "middle_name": "RAE",
        "credential": "RN, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Martin Mattiacci, LPC,NCC
• Katherine Michelle Mattingly, PA
• Patricia Jane Mattingly, MD
• Colleen Casey Mattioli, MS, OTR/L
• Cristine Mattis, ARNP-C
• Larry Mattocks
• Lillie Mattox, PHARMD
• Sandra Gay Mattson, LCSW, LISW-CP
• Lisa Michelle Matuga, LISA MATUGA, PA-C
• Justin Thomas Matulay, MD

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.