Individual provider Active NPI

Khadija Tuitt, DNP-PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Holyoke, MA
National Provider Identifier
1619459997
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
279126 Issued in MA
Practice address
98 Lower Westfield Rd Ste 101203
Holyoke, MA 01040-9403
Phone
(413) 624-4418
Fax
(833) 667-8386
NPI assigned
Sep 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 279126 MA Primary

Addresses

Primary practice location

98 Lower Westfield Rd Ste 101203
Holyoke, MA 01040-9403

Mailing address

98 Lower Westfield Rd Ste 101203
Holyoke, MA 01040-9403
Phone (134) 462-4418

Other names 1

  • Dr. Khadijah Tuitt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311001668 MA Practitioner - Nurse Practitioner 3971919283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
279126MAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
In-Tuitt Behavioral Health Services CurrentSince May 22, 2022 Accepting new patients
Clinical & Support Options, Inc CurrentSince Feb 16, 2021 Accepting new patients
Servicenet Inc PastSince Apr 2, 2025 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

98 Lower Westfield Rd
Ste 101203
Holyoke, MA 01040
Phone (413) 222-6284

98 Lower Westfield Rd
Ste 101
Holyoke, MA 01040
Phone (413) 282-8636

8 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 528-0471

130 Maple St
Ste 325
Springfield, MA 01103

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1619459997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD STE 101203",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409403",
            "telephone_number": "134-462-4418",
            "fax_number": "833-667-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD STE 101203",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409403",
            "telephone_number": "413-624-4418",
            "fax_number": "833-667-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUITT",
        "first_name": "KHADIJA",
        "name_prefix": "Dr.",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "279126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHADIJAH",
            "last_name": "TUITT",
            "prefix": "DR.",
            "credential": "DNP-PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.