Active NPI
Ronni Ellen Mathews, M.S., CCC-A
- Audiologist
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000381 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kabila Wellness. LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Audiologist | Current | 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
- 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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, CT
-
- Home Infusion Agency
- Shelton, CT
- NPI 1720852858
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
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.