Sheila Watson Mattingly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1120760 Issued in KY

Practice address

4384 Clearwater Way Ste 190
Lexington, KY 40515-6493

Phone

(859) 403-3385

NPI assigned

Oct 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Sheila Watson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Rewind Medical, LLC

  • Adult Health Nurse Practitioner
  • Lexington, KY
  • NPI 1902668841

  Registered Nurse

  NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1730909615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 CLEARWATER WAY STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156493",
            "telephone_number": "859-403-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 CLEARWATER WAY STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156493",
            "telephone_number": "859-403-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "SHEILA",
        "middle_name": "WATSON",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1120760",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "KY",
            "license": "1120760",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "KY",
            "license": "1120760",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1120760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "WATSON",
            "prefix": "MS.",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Mattingly
• Katelyn Mattingly
• Mary Elizabeth Mattingly, D.V.M
• Megan Analise Mattingly, M.S., CF-SLP
• Scarlet G Mattingly, MSW, CSW
• Thaddeus Mattmiller, LCSW
• Marcelo Barbosa de Accioly Mattos, DMD
• Kari Carpenter Mattson I, O.D
• Paul Edward Matuszewski, M.D.
• Jennifer Lynn Matzke

• Registered Nurse in Lexington, KY
• Providers in Lexington, KY by specialty
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.