1. Home
  2. Directory
  3. Illinois
  4. Marion
  5. Licensed Practical Nurse
  6. NPI Profile

MR. JONATHAN LEE MATTINGLY LPN
NPI 1154057404
Licensed Practical Nurse in Marion, IL

Active since July 28, 2022
11531 SUNDERLAND RD # A, MARION, IL 62959(618) 534-3624 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2022, Jul 28, 2022 (2 updates tracked since 2022).

About Mr. Jonathan Lee Mattingly Lpn NPPES

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

MR. JONATHAN LEE MATTINGLY LPN (NPI 1154057404) is an individual licensed practical nurse in Marion, Illinois, licensed in Illinois (043.118516) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1154057404
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JONATHAN LEE MATTINGLYCredential: LPN
Location Address11531 SUNDERLAND RD # AMarion, IL 62959-8274
Mailing Address11531 Sunderland RdMarion, IL 62959-8274 · (618) 964-5139
Phone(618) 534-3624
Sole ProprietorYes
Enumeration DateJuly 28, 2022
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1154057404 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 IL · 043.118516
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.
11531 SUNDERLAND RD # A, Marion, IL 62959
Open in Google Maps ↗

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 Jonathan Mattingly's NPI number?

The NPI number for Jonathan Mattingly is 1154057404. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Jonathan Mattingly located?

Jonathan Mattingly practices at 11531 Sunderland Rd # A, Marion, IL 62959. The listed phone number is (618) 534-3624.

What is Jonathan Mattingly'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 Jonathan Mattingly was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.