Individual provider Active NPI

Tierney Kathleen Elison, CNM

  • Advanced Practice Midwife
  • Cambridge, MA
National Provider Identifier
1689226441
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN2318216 Issued in MA
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

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110162456AMedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401000279 MA Practitioner - Certified Nurse Midwife (CNM) 2062835283 Reassigns benefits to 3 organizations

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
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5065

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Neighborhood Health Center CurrentSince Mar 28, 2022 Accepting new patients
Mt Auburn Professional Services CurrentSince Jul 1, 2025 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince Jul 1, 2025 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Sep 8, 2025 Accepting new patients
Brockton Neighborhood Health Center, Inc. CurrentSince Mar 28, 2022 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

  • FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.