Kelly Mattimoe is one of 100 nurse practitioners practicing in Odessa, Texas .
Kelly Mattimoe practices with James Y Li MDPA.
Registry record (NPPES)
NPI
1235867623
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
612 N Washington Ave Ste 200
Enumerated
Aug 12, 2022
Record last updated
Aug 12, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
612 N Washington Ave Suite 200Odessa , TX 79761
More nurse practitioners in Odessa
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.