MS. TORI MARIE MATTINGLY FNP NPI 1225776156

NPI Information

NPI: 1225776156
Provider Name: MS. TORI MARIE MATTINGLY, FNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1 BARNES JEWISH HOSPITAL PLZ
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63110
Phone: (800) 862-9980
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MS. Tori Marie Mattingly, FNP is a gerontology nurse practitioner in Saint Louis, MO. MS. Tori Marie Mattingly, FNP NPI is 1225776156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 BARNES JEWISH HOSPITAL PLZ
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63110-003
Phone: (800) 862-9980
Fax: (314) 362-1185

The NPI 1225776156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2022 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	2023046343	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420136419	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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