Nicole M Mattila, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

0004 Issued in SD

Practice address

1417 S Cliff Ave Ste 100
Sioux Falls, SD 57105-1063

Phone

(605) 322-6777

NPI assigned

Jun 30, 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

State licenses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1679860449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S CLIFF AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051063",
            "telephone_number": "605-322-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S CLIFF AVE STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051063",
            "telephone_number": "605-322-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTILA",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "SD",
            "license": "0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy S Matthes, RD
• Matthew Wolthuizen Counseling, LLC
• Lisa M Matthies, LPN
• Abigail Matthiesen, PHARMD
• Deann K Matthiesen, DNP
• Daniel Shea Matzner
• Kristen K Maughan, MS,RDN,LDN
• Ty Mauldin
• Sarah Maurer
• Abbigayle Sue Mausbach

• Genetic Counselor (M.S.) in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Genetic Counselor (M.S.) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.