Theresa Marie Mathis-Nicholson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

715536 Issued in NY

Practice address

4154 Barnes Ave
Bronx, NY 10466-4323

Phone

(347) 463-1891

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1194290890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 BARNES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 BARNES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664323",
            "telephone_number": "347-463-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS-NICHOLSON",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "715536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshin Mathews, NP
• Sallee Reynolds Mathews, PA-C
• Wesley Stewart Mathewson
• Aneka Mathieson
• Farah Eloise Mathieu
• Johanna Mathis
• Manuja C Mathur, MD
• Yasha Mathur
• Davina Mathura
• Kristal Lisa Mathura

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.