Ibtisam Matta, RN
NPI 1063176543 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
Ibtisam Matta, RN is a Child & Adolescent Psychiatric/Mental Health Registered Nurse provider in Grand Rapids, MI (NPI 1063176543).
Provider details
- NPI number
- 1063176543
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 4704359386 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704359386 (MI)
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-29
- Last updated
- 2021-10-29
- Certified
- 2021-10-29
Frequently asked questions
- What is Ibtisam Matta's NPI number?
- Ibtisam Matta's National Provider Identifier (NPI) is 1063176543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ibtisam Matta's specialty?
- Ibtisam Matta is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).
- Where is Ibtisam Matta located?
- Ibtisam Matta's practice location on file with NPPES is 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918.
- What is Ibtisam Matta's phone number?
- The practice phone number listed in the NPPES registry for Ibtisam Matta is (616) 336-3765.
- Is Ibtisam Matta's NPI active?
- Yes — Ibtisam Matta's NPI (1063176543) is active in the NPPES registry as of the last update on 2021-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.