Tianna Georgia Kates-Matthew

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CTNY91310664E Issued in CT

Practice address

52 Canton Rd
West Simsbury, CT 06092

Phone

(914) 512-4107

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1720964869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CANTON RD",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "06092",
            "telephone_number": "914-512-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CANTON RD",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "06092",
            "telephone_number": "914-512-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES-MATTHEW",
        "first_name": "TIANNA",
        "middle_name": "GEORGIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CT",
            "license": "CTNY91310664E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Dedominicis, DDS
• Susan Carol Eisenberg, LCSW
• Kenneth R Finn, DMD
• Brett Inlow, DC
• Meesha Jemison, PMHNP-BC
• Sarah Jennie Lippincott, RD
• Gerald Mackinnon
• Michael Grant
• Sheri L Morris, MSW
• Michelle Angela Page, PHARMD

• Nurse's Aide in West Simsbury, CT
• Providers in West Simsbury, CT by specialty
• Nurse's Aide in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.