Active NPI
Kathryn W Tierney, APRN
- Family Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 002731
- Practice address
- 540 Saybrook Rd Ste 210
Middletown, CT 06457-4759 - Phone
- (860) 358-6875
- Fax
- (860) 358-8693
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 002731 | CT | Primary |
Addresses
Primary practice location
540 Saybrook Rd Ste 210
Middletown, CT 06457-4759
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004227171 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
80 S Main St
Suite 102
Middletown, CT 06457-3648
Phone (860) 358-6878
Hospital & facility affiliations
- Middlesex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002731 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Family | Current | Accepting new patients |
| Middlesex Hospital | Family | Current | Accepting new patients |
| Middlesex Hospital | Current | Accepting new patients | |
| NP Care, LLC | Past | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients |
Locations
80 S Main St
Ste 204
Middletown, CT 06457
Phone (860) 358-6878
540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
540 Saybrook Rd
Ste 210
Middletown, CT 06457
Phone (860) 344-1801
Interoperability endpoints
- ktierney14590@middlesexhealthprd.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Middletown, CT
- NPI 1972563138
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
-
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
-
- Psychiatry Physician
- Middletown, CT
- NPI 1760451041
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- Family Medicine Physician
- Middletown, CT
- NPI 1851350664
-
- Nurse Practitioner
- Shelton, CT
- NPI 1386693182
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1174526784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 SAYBROOK RD STE 210",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574759",
"telephone_number": "860-358-6875",
"fax_number": "860-358-8693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIERNEY",
"first_name": "KATHRYN",
"middle_name": "W",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "002731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004227171",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.