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

Tyler Zachary Gillingham, NP

Individual provider Ambulatory Care Registered Nurse · NPI 1952936353

Tyler Zachary Gillingham, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Atrius Health Inc, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1340 Boylston St
Boston, MA 02215-4302
Phone: (617) 247-7555
Fax: (617) 638-0033
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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 RN2328949 (MA)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence RN2328949 (MA)

Record details

NPI number1952936353
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Atrius Health Inc — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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