Active NPI
Tiara Mathews, RN
- Registered Nurse
- New Haven, CT
National Provider Identifier
1811674526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 111355
- Practice address
- 150 Westerleigh Rd
New Haven, CT 06515-1502 - Phone
- (475) 414-4148
- NPI assigned
- Jul 4, 2023
- Last updated
- Jul 4, 2023
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 111355 | CT | Primary |
| Case Management Registered Nurse | 163WC0400X | 111355 | CT | |
| Community Health Registered Nurse | 163WC1500X | 111355 | CT | |
| Continence Care Registered Nurse | 163WC2100X | 111355 | CT | |
| Diabetes Educator Registered Nurse | 163WD0400X | 111355 | CT | |
| Peritoneal Dialysis Registered Nurse | 163WD1100X | 111355 | CT | |
| General Practice Registered Nurse | 163WG0000X | 111355 | CT | |
| Home Health Registered Nurse | 163WH0200X | 111355 | CT | |
| Hospice Registered Nurse | 163WH1000X | 111355 | CT | |
| Infection Control Registered Nurse | 163WI0600X | 111355 | CT | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 111355 | CT | |
| Medical-Surgical Registered Nurse | 163WM0705X | 111355 | CT | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 111355 | CT | |
| Rehabilitation Registered Nurse | 163WR0400X | 111355 | CT | |
| Wound Care Registered Nurse | 163WW0000X | 111355 | CT |
Addresses
Primary practice location
150 Westerleigh Rd
New Haven, CT 06515-1502
Mailing address
150 Westerleigh Rd
New Haven, CT 06515-1502
Phone (475) 414-4148
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111355 | CT | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688428800000",
"number": "1811674526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WESTERLEIGH RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151502",
"telephone_number": "475-414-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WESTERLEIGH RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151502",
"telephone_number": "475-414-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "TIARA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-04",
"last_updated": "2023-07-04",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "111355",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WC2100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continence Care",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WD1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Dialysis, Peritoneal",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "CT",
"license": "111355",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "CT",
"license": "111355",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.