Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FAITH ANN MATTINGLY RN
NPI 1174351589
Nurse Practitioner in Louisville, KY

Active since July 25, 2024
901 S 4TH ST, LOUISVILLE, KY 40203(502) 714-0403 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jul 25, 2024 (2 updates tracked since 2024).

About Faith Ann Mattingly Rn NPPES

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

FAITH ANN MATTINGLY RN (NPI 1174351589) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (1180654) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1174351589
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFAITH ANN MATTINGLYCredential: RN
Location Address901 S 4TH STLouisville, KY 40203-3205
Mailing Address3818 Glenside PlLouisville, KY 40213-1534 · (502) 714-0403
Sole ProprietorYes
Enumeration DateJuly 25, 2024
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1174351589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 1180654
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
901 S 4TH ST, Louisville, KY 40203

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.

Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Specialist/Technologist (Athletic Trainer)
901 S 4TH ST
LOUISVILLE, KY 40203
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Registered Nurse
901 S 4TH ST
LOUISVILLE, KY 40203
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203

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 Faith Mattingly's NPI number?

The NPI number for Faith Mattingly is 1174351589. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Faith Mattingly located?

Faith Mattingly practices at 901 S 4th St, Louisville, KY 40203. The listed phone number is (502) 714-0403.

What is Faith Mattingly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Faith Mattingly was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.