Lissy Mathew

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

691675 Issued in TX

Practice address

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone

(210) 669-1421

NPI assigned

Apr 16, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1033905112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 SCENIC VIEW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-669-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "LISSY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "691675",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95074602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aparna Mathew
• Biju Mathew, FNP
• Diana Mathew
• Jeffy Mathew, MD
• Kendra Natasha Mathew, PMHNP-BC
• Milen Mathew
• Rachel Mathew, APRN, CPNP-PC
• Ribi Cherian Mathew, AGNP-C
• Roshini Rose Mathew
• Ruby Mathew, NP

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.