Active NPI
Tatyana Mesh, NP
- Family Nurse Practitioner
- Jamaica Plain, MA
National Provider Identifier
1679750939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 236372
- Practice address
- 545A Centre St
Jamaica Plain, MA 02130-2061 - Phone
- (617) 522-5464
- Fax
- (617) 522-0903
- NPI assigned
- Jan 29, 2008
- Last updated
- Feb 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 236372 | MA | Primary |
Addresses
Primary practice location
545A Centre St
Jamaica Plain, MA 02130-2061
Mailing address
545A Centre St
Jamaica Plain, MA 02130-2061
Phone (617) 522-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236372 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1679750939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545A CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302061",
"telephone_number": "617-522-5464",
"fax_number": "617-522-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545A CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302061",
"telephone_number": "617-522-5464",
"fax_number": "617-522-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESH",
"first_name": "TATYANA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "236372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.