PEGGY SUE MATAILO LPN
NPI 1932691391
Licensed Practical Nurse in Waterville, OH

Q: What is Peggy Matailo's NPI number?

The NPI number for Peggy Matailo is 1932691391. It was assigned to this individual provider in the NPPES registry on June 1, 2018. The provider is also known as Peggy Sue Meadows.

Q: What is Peggy Matailo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peggy Matailo was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 01, 2018

1501 PRAY BLVD APT E111, WATERVILLE, OH 43566(914) 471-6349 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peggy Sue Matailo Lpn NPPES

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

PEGGY SUE MATAILO LPN (NPI 1932691391) is an individual licensed practical nurse in Waterville, Ohio, licensed in New York (315542-1) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1932691391

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NamePEGGY SUE MATAILOCredential: LPN

Location Address1501 PRAY BLVD APT E111Waterville, OH 43566-8782

Mailing Address1501 Pray Blvd Apt E111Waterville, OH 43566-8782 · (914) 471-6349

Phone(914) 471-6349

Sole ProprietorNo

Enumeration DateJune 1, 2018

Last NPPES UpdateJune 18, 2025

NPPES CertifiedJune 18, 2025

✔ NPI 1932691391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 315542-1

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.

Also ListedHomemakerTaxonomy 376J00000X

1501 PRAY BLVD APT E111, Waterville, OH 43566

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Other Names 1

Former Name (1)Peggy Sue Meadows

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 Peggy Matailo's NPI number?

The NPI number for Peggy Matailo is 1932691391. It was assigned to this individual provider in the NPPES registry on June 1, 2018. The provider is also known as Peggy Sue Meadows.

Where is Peggy Matailo located?

Peggy Matailo practices at 1501 Pray Blvd Apt E111, Waterville, OH 43566. The listed phone number is (914) 471-6349.

What is Peggy Matailo'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 Peggy Matailo was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.