Active NPI
Tierney Kathleen Elison, CNM
- Advanced Practice Midwife
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN2318216
- Practice address
- 330 Mt Auburn St
Stanton 1St Floor
Cambridge, MA 02138-5502 - Phone
- (617) 499-5151
- Fax
- (617) 547-0636
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN2318216 | MA | Primary |
| Advanced Practice Midwife | 367A00000X | CNM00183 | RI |
Addresses
Primary practice location
330 Mt Auburn St
Stanton 1St Floor
Cambridge, MA 02138-5502
Mailing address
330 Mt Auburn St
Parsons 2
Cambridge, MA 02138-5597
Phone (617) 499-5151
Other practice location 1
495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500
Other practice location 2
43 Foundry Ave
Waltham, MA 02453-8313
Phone (781) 693-3842
Other practice location 3
280 Union St
Lynn, MA 01901-1353
Phone (781) 596-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110162456A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5065
Hospital & facility affiliations
- Mount Auburn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Neighborhood Health Center | Current | Accepting new patients | |
| Mt Auburn Professional Services | Current | Accepting new patients | |
| Mount Auburn Professional Services Inc | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Brockton Neighborhood Health Center, Inc. | Current | Accepting new patients |
Locations
495 Western Ave
Brighton, MA 02135
63 Main St
Brockton, MA 02301
Phone (508) 559-6696
330 Mount Auburn St
Fl 1
Cambridge, MA 02138
Phone (617) 499-5151
330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
Interoperability endpoints
- https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
- telison156668@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Federally Qualified Health Center (FQHC)
- Brockton, MA
- NPI 1225085319
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community/Retail Pharmacy
- Brockton, MA
- NPI 1528704061
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1689226441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MT AUBURN ST",
"address_2": "PARSONS 2",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385597",
"telephone_number": "617-499-5151",
"fax_number": "617-547-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MT AUBURN ST",
"address_2": "STANTON 1ST FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5151",
"fax_number": "617-547-0636"
}
],
"practiceLocations": [
{
"address_1": "495 Western Ave",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021351007",
"country_code": "US",
"telephone_number": "617-783-0500",
"fax_number": "617-783-5514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43 Foundry Ave",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024538313",
"country_code": "US",
"telephone_number": "781-693-3842",
"fax_number": "781-693-3805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 Union St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011353",
"country_code": "US",
"telephone_number": "781-596-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELISON",
"first_name": "TIERNEY",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "RN2318216",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "RI",
"license": "CNM00183",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110162456A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.