Active NPI
Lesley Ann Mathews, MSN FNPC
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1295724227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R211676
- Practice address
- 22 S. Greene St
Greenebaum Cancer Center, Ste 9-D
Baltimore, MD 21201 - Phone
- (410) 328-7609
- NPI assigned
- Oct 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R211676 | MD | Primary |
| Nurse Practitioner | 363L00000X | 533575 | TX |
Addresses
Primary practice location
22 S. Greene St
Greenebaum Cancer Center, Ste 9-D
Baltimore, MD 21201
Mailing address
207 E 23Rd St
Baltimore, MD 21218-5810
Phone (210) 326-6389
Other practice location 1
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-2345
Other practice location 2
207 E 23rd St
Baltimore, MD 21218-5810
Phone (210) 326-6389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177644504 | Medicaid | TX |
Other names 1
- Lesley Mathews Hillman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R211676 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Austin | Past | Accepting new patients | |
| Central Texas Oncology Associates, P.a. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Cancer Healthcare Associates | Past | Accepting new patients |
Interoperability endpoints
- lmathews475764@direct.umm.edu
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1548263346
-
- Hematology & Oncology Physician
- Austin, TX
- NPI 1760420491
-
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1295724227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E 23RD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185810",
"telephone_number": "210-326-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S. GREENE ST",
"address_2": "GREENEBAUM CANCER CENTER, STE 9-D",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-328-7609"
}
],
"practiceLocations": [
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907201",
"country_code": "US",
"telephone_number": "214-648-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 E 23rd St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212185810",
"country_code": "US",
"telephone_number": "210-326-6389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEWS",
"first_name": "LESLEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSN FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R211676",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "533575",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177644504",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLEY",
"last_name": "HILLMAN",
"middle_name": "MATHEWS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.