Individual provider Active NPI

Ronni Ellen Mathews, M.S., CCC-A

  • Audiologist
  • Waterbury, CT
National Provider Identifier
1942414503
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000381 Issued in CT
Practice address
171 Grandview Ave
Waterbury, CT 06708-2517
Phone
(203) 753-8833
Fax
(203) 753-3744
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000381 CT Primary

Addresses

Primary practice location

171 Grandview Ave
Waterbury, CT 06708-2517

Mailing address

101 Pondview Dr
Southington, CT 06489-3948
Phone (860) 378-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000245 CT Practitioner - Qualified Audiologist 7618039967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000381CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kabila Wellness. LLC CurrentSince Nov 12, 2023 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Aug 1, 2018 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Aug 1, 2018 Accepting new patients

Locations

47 W Main St
Avon, CT 06001
Phone (860) 674-8558

11 Harrison Ave
Branford, CT 06405
Phone (203) 287-9915

291 Queen St
Bristol, CT 06010
Phone (860) 583-1845

2A Pasco Dr
East Windsor, CT 06088
Phone (860) 292-6801

2661 Dixwell Ave
Hamden, CT 06518
Phone (203) 287-9115

1869 Dixwell Ave
Ste 3
Hamden, CT 06514
Phone (203) 287-9915

4 Corporate Dr
Ste 392
Shelton, CT 06484
Phone (203) 447-0088

171 Grandview Ave
Ste 201
Waterbury, CT 06708
Phone (203) 578-4630

171 Grandview Ave
Ste 203
Waterbury, CT 06708
Phone (203) 597-1002

171 Grandview Ave
Waterbury, CT 06708
Phone (203) 578-4630

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Interoperability endpoints

  • Direct secure messaging: ronni.mathews@7882.chartlogic.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1942414503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PONDVIEW DR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893948",
            "telephone_number": "860-378-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082517",
            "telephone_number": "203-753-8833",
            "fax_number": "203-753-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "RONNI",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.