TYREE SHIRRAY MATHENIA APRN-BC
NPI 1669024105
Nurse Practitioner - Family in North Little Rock, AR

Active since July 15, 2019
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114(501) 257-1000 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2021, Jul 15, 2019 (2 updates tracked since 2019).

About Tyree Shirray Mathenia Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYREE SHIRRAY MATHENIA APRN-BC (NPI 1669024105) is an individual family provider in North Little Rock, Arkansas, licensed in Arkansas (212982) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1669024105
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTYREE SHIRRAY MATHENIACredential: APRN-BC
Location Address2200 FORT ROOTS DRNorth Little Rock, AR 72114-1709
Mailing Address437 Nottingham DrCabot, AR 72023-3857 · (501) 960-6262
Sole ProprietorNo
Enumeration DateJuly 15, 2019
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
NPI 1669024105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · 212982
Also ListedRegistered NurseTaxonomy 163W00000X · License R064774 (AR)
2200 FORT ROOTS DR, North Little Rock, AR 72114

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Nurse Practitioner (Acute Care)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Nurse Practitioner (Gerontology)
2200 FORT ROOTS DR, EXTENDED CARE 1D (118/NLR)
NORTH LITTLE ROCK, AR 72114
Social Worker (Clinical)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pharmacist (Psychiatric)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Nurse Practitioner (Gerontology)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Dietitian, Registered
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Optometrist
2200 FORT ROOTS DR, 16L/NLR
NORTH LITTLE ROCK, AR 72114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyree Mathenia's NPI number?

The NPI number for Tyree Mathenia is 1669024105. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Tyree Mathenia located?

Tyree Mathenia practices at 2200 Fort Roots Dr, North Little Rock, AR 72114. The listed phone number is (501) 257-1000.

What is Tyree Mathenia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tyree Mathenia was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.