KATHLEEN GRACE MATTINGLY
NPI 1790487023
Student in an Organized Health Care Education/Training Program in Ocala, FL
About Kathleen Grace Mattingly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN GRACE MATTINGLY (NPI 1790487023) is an individual student in an organized health care education/training program in Ocala, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Grace Mattingly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
OCALA, FL 34471
OCALA, FL 34471
OCALA, FL 34471
OCALA, FL 34471
OCALA, FL 34471
OCALA, FL 34471
OCALA, FL 34471
OCALA, FL 34471
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 Kathleen Mattingly's NPI number?
The NPI number for Kathleen Mattingly is 1790487023. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Kathleen Mattingly located?
Kathleen Mattingly practices at 1431 SW 1st Ave # Bitzer7, Ocala, FL 34471. The listed phone number is (352) 401-8311.
What is Kathleen Mattingly's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kathleen Mattingly enrolled in Medicare?
Yes. Kathleen Mattingly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathleen Mattingly was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kathleen Grace Mattingly · NPI 1790487023
Student in an Organized Health Care Education/Training Program provider in Ocala, Florida. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1790487023 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1431 SW 1ST AVE # BITZER7, Ocala, FL 34471-6500
- **Phone:** (352) 401-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790487023) · Data from the CMS NPPES public registry.