Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tamika Yvette Wisdom, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1275887101

Mrs. Tamika Yvette Wisdom, NURSEPRACTITIONER is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Codman Square Health Center, Inc, a 67-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2012
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Practice location Address checks out

637 Washington St
Boston, MA 02124-3510
Phone: (617) 825-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2313970 (MA)

Record details

NPI number1275887101
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Codman Square Health Center, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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