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ROBERT MICHAEL MATTA
NPI 1043002660
Licensed Practical Nurse in Lakewood, WA

Active since May 20, 2025
9720 S TACOMA WAY, LAKEWOOD, WA 98499(253) 604-7422(253) 302-8493 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Michael Matta NPPES

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

ROBERT MICHAEL MATTA (NPI 1043002660) is an individual licensed practical nurse in Lakewood, Washington, licensed in Washington (LP61584281) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1043002660
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameROBERT MICHAEL MATTA
Location Address9720 S TACOMA WAYLakewood, WA 98499-4456
Mailing AddressPo Box 39680Lakewood, WA 98496-3680 · (253) 604-7422 · Fax (253) 302-8493
Phone(253) 604-7422
Fax(253) 302-8493
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1043002660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP61584281
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9720 S TACOMA WAY, Lakewood, WA 98499
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Other Providers at the Same Location NPPES 20

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

FELICIA BLANKEN
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
AMANDA BARRIER
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ANGELA BALLENSKY
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ROCHELLE LORTZ
Counselor (Addiction (Substance Use Disorder))
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
IMAGINE BEHAVIORAL AND DEVELOPMENTAL SERVICES
Behavior Analyst
9720 S TACOMA WAY
TACOMA, WA 98499
Pierce County (253) 682-0320
ADRIENNE DEMLER
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
ALICE MARIE PARK
Registered Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666
AUTUMN MCVAY
Licensed Practical Nurse
9720 S TACOMA WAY
LAKEWOOD, WA 98499
Pierce County (253) 503-3666

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 Robert Matta's NPI number?

The NPI number for Robert Matta is 1043002660. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Robert Matta located?

Robert Matta practices at 9720 S Tacoma Way, Lakewood, WA 98499. The listed phone number is (253) 604-7422.

What is Robert Matta's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Robert Matta was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.