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

Tyra A Googe, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1245183011

Tyra A Googe, CPNP-AC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2026

Practice location Address checks out

850 Harrison Ave Yacc 4
Boston, MA 02118
Phone: (617) 414-4359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN2333352 (MA)

Record details

NPI number1245183011
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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