Elizabeth Leanne Matheny, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0000103962 Issued in TN

Practice address

135 Bay Dr
Hendersonville, TN 37075-4040

Phone

(615) 927-5619

NPI assigned

Jan 7, 2021

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

Electronic endpoints 1

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1245828060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BAY DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754040",
            "telephone_number": "615-927-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BAY DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754040",
            "telephone_number": "615-927-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENY",
        "first_name": "ELIZABETH",
        "middle_name": "LEANNE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000103962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hendersonville",
            "affiliation": "N",
            "address_1": "135 Bay Dr",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370754040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Nicole Mason, FNP
• Eryn Mason
• Linda Mason
• Ayla Massey
• Alex Javier Matas, PHARMD
• Jennifer Mathis
• Macey Leigh Matthews, APRN
• Tonia Marta Matwijczuk, P.T..
• Katherine Maulden, LCSW
• Caroline Mauldin, FNP-C

• Registered Nurse in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.