Madeline Fulcher Mattern, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP007526 Issued in PA

Practice address

2520 Green Tech Dr
Suite D
State College, PA 16803-2300

Phone

(814) 231-4043

NPI assigned

Mar 23, 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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1992004352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NITTANY RIDGE RD",
            "city": "HOWARD",
            "state": "PA",
            "postal_code": "168414162",
            "telephone_number": "814-383-2461",
            "fax_number": "814-865-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 GREEN TECH DR",
            "address_2": "SUITE D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032300",
            "telephone_number": "814-231-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "MADELINE",
        "middle_name": "FULCHER",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Masorti, D.C.
• Joshua Masorti, DC
• John E. Mateer, M.D.
• Elaine Michele Matisko, AG-CRNP
• Joy C Mattern, PA-C
• Danielle Maurer Lavan, MS, LPC
• Michael Vincent May
• Jessica E Mayes, LSW
• Molly Suzanne Mazal, PHD
• Colin P McCaul, MD

• Family Nurse Practitioner in State College, PA
• Providers in State College, PA by specialty
• Family Nurse Practitioner in Pennsylvania

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