Active NPIIndividual providerSole proprietor

Tamisha Matos

Licensed Practical Nurse in Lowell, Massachusetts

NPI Number1679148308
Practice location
22 Old Canal Dr, Lowell, MA 01851-2730
Fax
—
Last updated
May 25, 2021

Tamisha Matos is a Licensed Practical Nurse based in Lowell, MA. Tamisha Matos practices in Lowell, MA. The NPI Number for Tamisha Matos is 1679148308 and holds a License No. LN97108 (MA). The current practice location address for Tamisha Matos is 22 Old Canal Dr, Lowell, MA 01851-2730 and can be reached out via phone at 978-452-5155.

Provider Profile Details

NPI Number
1679148308
Provider Name
Tamisha Matos
Provider Entity Type
Individual
Gender
Female
Address
22 Old Canal Dr, Lowell, MA 01851-2730
Phone Number
978-452-5155
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2021
Last Update Date
May 25, 2021
Certification Date
May 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Old Canal Dr
Lowell, MA 01851-2730
City
Lowell
Zip
01851-2730
Phone Number
978-452-5155
Lowell, MA 01851Get directions →

Provider Business Mailing Address Details

Address
22 Old Canal Dr
Lowell, MA 01851-2730
City
Lowell
State
MA
Zip
01851-2730
Phone Number
978-452-5155

License Information

License Number
LN97108
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tamisha Matos?

The NPI number of Tamisha Matos is 1679148308. It was assigned on May 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Tamisha Matos?

Tamisha Matos is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN97108.

Where does Tamisha Matos practice?

The practice location is 22 Old Canal Dr, Lowell, MA 01851-2730. The office can be reached at 978-452-5155 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679148308 directly on the NPPES registry website.

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