Active NPIIndividual providerSole proprietor

Mrs. Tamethea C Willis, RN

Registered Nurse in Dedham, Massachusetts

NPI Number1689515892
Practice location
91 Eastern Ave Ste 24, Dedham, MA 02026-4515
Fax
781-307-0939
Last updated
April 2, 2026

Tamethea Charisse Willis is a Registered Nurse based in Dedham, MA. Tamethea Charisse Willis practices in Dedham, MA and has the professional credentials of RN. The NPI Number for Tamethea Charisse Willis is 1689515892 and holds a License No. 251440 (MA). The current practice location address for Tamethea Charisse Willis is 91 Eastern Ave Ste 24, Dedham, MA 02026-4515 and can be reached out via phone at 781-307-0939 and via fax at 781-307-0939.

Provider Profile Details

NPI Number
1689515892
Provider Name
Tamethea Charisse Willis
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
91 Eastern Ave Ste 24, Dedham, MA 02026-4515
Phone Number
781-307-0939
Fax Number
781-307-0939
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2026
Last Update Date
April 2, 2026
Certification Date
April 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
91 Eastern Ave Ste 24
Dedham, MA 02026-4515
City
Dedham
Zip
02026-4515
Phone Number
781-307-0939
Fax Number
781-307-0939
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
30 Ladyslipper Ln
Stoughton, MA 02072-3094
City
Stoughton
State
MA
Zip
02072-3094
Phone Number
781-307-0939

License Information

License Number
251440
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tamethea C Willis, RN?

The NPI number of Mrs. Tamethea C Willis, RN is 1689515892. It was assigned on April 2, 2026 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tamethea C Willis, RN?

Mrs. Tamethea C Willis, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 251440.

Where does Mrs. Tamethea C Willis, RN practice?

The practice location is 91 Eastern Ave Ste 24, Dedham, MA 02026-4515. The office can be reached at 781-307-0939 (phone) or 781-307-0939 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689515892 directly on the NPPES registry website.

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