SUSANA MATALA
NPI 1013508118
Licensed Vocational Nurse in Mansfield, TX

Active since February 01, 2021
4800 SAN REMO DR, MANSFIELD, TX 76063(813) 263-8943 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susana Matala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANA MATALA (NPI 1013508118) is an individual licensed vocational nurse in Mansfield, Texas, licensed in Texas (323517) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1013508118
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSUSANA MATALA
Location Address4800 SAN REMO DRMansfield, TX 76063-8642
Mailing Address4800 San Remo DrMansfield, TX 76063-8642
Sole ProprietorNo
Enumeration DateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
NPI 1013508118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in TX · 323517
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4800 SAN REMO DR, Mansfield, TX 76063

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Vocational Nurse
4800 SAN REMO DR
MANSFIELD, TX 76063
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4800 SAN REMO DR
MANSFIELD, TX 76063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Matala's NPI number?

The NPI number for Susana Matala is 1013508118. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Susana Matala located?

Susana Matala practices at 4800 San Remo Dr, Mansfield, TX 76063. The listed phone number is (813) 263-8943.

What is Susana Matala's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Susana Matala was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.