MATTIE ADDICOTT CNP NPI 1487308318

NPI Information

  • NPI: 1487308318
  • Provider Name: MATTIE ADDICOTT, CNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7611 VENICE HEIGHTS DR NE APT SUITE
    WARREN, OH
    ZIP 44484
  • Phone: (330) 984-8415

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NPI Details

Mattie Addicott, CNP is an acute care nurse practitioner in Warren, OH. Mattie Addicott, CNP NPI is 1487308318. 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:

7611 VENICE HEIGHTS DR NE APT SUITE
WARREN, OH
ZIP 44484-505
Phone: (330) 984-8415

The NPI 1487308318 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 2/9/2022 and was last updated on 2/9/2022.

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
1363LA2100XNurse PractitionerAcute CareAPRN.CNP.0030659OHIOYes

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: 11/21/2025

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