Active NPI
Matthew Tighe, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4007646
- Practice address
- 1012 Center Dr
Richmond, KY 40475-3838 - Phone
- (859) 626-9696
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4007646 | KY | Primary |
Addresses
Primary practice location
1012 Center Dr
Richmond, KY 40475-3838
Mailing address
3012 Birch Tree LN
Lexington, KY 40503-5836
Phone (859) 312-3552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Manchester Shopping Ctr
Manchester, KY 40962-1401
Phone (606) 658-6333
200 Mulberry St
Suite a
Booneville, KY 41314-7505
Phone (606) 593-6023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4007646 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Family Practice Clinic of Manchester Inc | Current | Accepting new patients | |
| Lancaster Family Health Care | Current | Accepting new patients |
Locations
108 Lexington St
Lancaster, KY 40444
Phone (859) 304-5258
108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701
1012 Center Dr
Richmond, KY 40475
Phone (859) 626-9694
Interoperability endpoints
- https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1689919078
-
- Rural Health Clinic/Center
- Lancaster, KY
- NPI 1942946710
-
- Rural Health Clinic/Center
- Booneville, KY
- NPI 1326152109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1285315374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 BIRCH TREE LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405035836",
"telephone_number": "859-312-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 CENTER DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753838",
"telephone_number": "859-626-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGHE",
"first_name": "MATTHEW",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "4007646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.