Mankato TMS PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MANKATO TMS PLLC

Practice address

1400 Madison Ave Ste 602
Mankato, MN 56001-5488

Phone

(507) 740-0467

Fax

(360) 282-1236

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Lawrence Matson, DNPNPI 1235678954

Title

Owner, Ceo

Phone

(507) 740-0467

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Matson

  • Family Nurse Practitioner
  • Mankato, MN
  • NPI 1235678954

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1982313045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAK MARSH DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018762",
            "telephone_number": "507-613-3883",
            "fax_number": "360-282-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 602",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488",
            "telephone_number": "507-740-0467",
            "fax_number": "360-282-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO TMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "507-740-0467",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mankato Surgical Center, L.L.C. (Mankato Surgery Center)
• Mankato Vision Center LLC
• Marycruz Manriquez
• Hussen Amir Ahmed Mansai, MD
• Aliyah Manthe
• Lori Ann Manthey, PTA

• Psychiatric/Mental Health Nurse Practitioner in Mankato, MN
• Providers in Mankato, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.