Linda C Mattlage, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

021052-23-02 Issued in NH

Practice address

248 Pleasant St
Suite 1700
Concord, NH 03301-2588

Phone

(603) 224-1929

Fax

(603) 228-7114

NPI assigned

Jan 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Concord Pediatrics, PA

  • Pediatrics Physician
  • Concord, NH
  • NPI 1720059306
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1912978677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 1700",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-1929",
            "fax_number": "603-228-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 1700",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-1929",
            "fax_number": "603-228-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTLAGE",
        "first_name": "LINDA",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "021052-23-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008658",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "22258Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Mastromarino, LCMHC
• Marjorie Matheny, RN, MSN, CCM
• Josy Mathew, MBBS, MD
• Michelle Liane Matson, OTR
• Wendy M Matson, PTA
• Regina Marie Mattrella, LICSW
• Paul David Matzkin, MD
• Elysha Mawji, M.D.
• Hannah Max
• Maxi Drug North Inc

• Pediatric Nurse Practitioner in Concord, NH
• Providers in Concord, NH by specialty
• Pediatric Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.