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TAMISHA MATOS
NPI 1679148308
Licensed Practical Nurse in Lowell, MA

Active since May 25, 2021
22 OLD CANAL DR, LOWELL, MA 01851(978) 452-5155 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamisha Matos NPPES

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

TAMISHA MATOS (NPI 1679148308) is an individual licensed practical nurse in Lowell, Massachusetts, licensed in Massachusetts (LN97108) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1679148308
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTAMISHA MATOS
Location Address22 OLD CANAL DRLowell, MA 01851-2730
Mailing Address22 Old Canal DrLowell, MA 01851-2730 · (978) 452-5155
Phone(978) 452-5155
Sole ProprietorYes
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1679148308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN97108
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
22 OLD CANAL DR, Lowell, MA 01851
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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.

HARMONY CHAGNON LPN
Licensed Practical Nurse
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 452-5155
KYLE MATTHEW CORREA MSW
Social Worker (Clinical)
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
ALYSSA KAYLA OTERO
Student in an Organized Health Care Education/Training Program
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
SOPHIA L KIM
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 452-1736
LEAH MARIE FOSSETT
Behavior Technician
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
JAZMIN SIM KEROACK
Counselor
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 204-0841
KASSY RIVERA
Counselor (Mental Health)
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800
BRIDGID PORKOLA PT, DPT
Physical Therapist
22 OLD CANAL DR
LOWELL, MA 01851
Middlesex County (978) 453-6800

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 Tamisha Matos's NPI number?

The NPI number for Tamisha Matos is 1679148308. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Tamisha Matos located?

Tamisha Matos practices at 22 Old Canal Dr, Lowell, MA 01851. The listed phone number is (978) 452-5155.

What is Tamisha Matos's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tamisha Matos was last updated on May 25, 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.