Amy Dianne Mattocks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201604826RN Issued in OR

Practice address

121 SE Viewmont Ave
Corvallis, OR 97333-1968

Phone

(541) 766-3546

NPI assigned

Jan 22, 2025

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: amattocks766759@direct.ochin.org

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1891507216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SE VIEWMONT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331968",
            "telephone_number": "541-766-3546",
            "fax_number": "541-766-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SE VIEWMONT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331968",
            "telephone_number": "541-766-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "AMY",
        "middle_name": "DIANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201604826RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Matsushita, DO
• Emma Matteo, RN
• David Matthews
• Patricia L. Matthews, LCSW
• Zachary Mattka, DO
• Hollie Matz
• Raye Maudlin
• Quinn Maukonen
• Benedict James Maus, L. AC.
• Kimberly Leanne Maxwell

• Registered Nurse in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.