Melissa Matthews

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

817117-01 Issued in NY

Practice address

911 Stowell St
Elmira, NY 14901-1428

Phone

(607) 737-5215

NPI assigned

Mar 13, 2024

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Casa-Trinity, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elmira, NY
  • NPI 1508272238
  NPD
• Casa-Trinity, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Geneseo, NY
  • NPI 1023054376
  NPD (past)

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1609635663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PITNEY ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 STOWELL ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011428",
            "telephone_number": "607-737-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "817117-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCES",
            "identifier": "161039939",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161039939",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmatthews@casa-trinity.org",
            "affiliation": "N",
            "endpointDescription": "Personal",
            "address_1": "911 Stowell St",
            "city": "Elmira",
            "state": "NY",
            "country_code": "US",
            "postal_code": "149011428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carleen T Masters, RN
• Steve Mastronardi
• Joseph William Mathey III, M.D.
• Chad Mathieu, A.T.C.
• Matthew J Dortona PSYD, PLLC
• Dawn Mattice
• Roberto Mauri, M.D.
• Richard William Maxwell, PHD
• Chelsea Renee Maycumber, AGNP
• Chelsie Maynard, MDIV, LICSW/LCSW

• Registered Nurse in Elmira, NY
• Providers in Elmira, 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 Mar 13, 2024; 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.