Active NPI
Tamethea Charisse Willis, RN
- Registered Nurse
- Dedham, MA
National Provider Identifier
1689515892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 251440
- Practice address
- 91 Eastern Ave Ste 24
Dedham, MA 02026-4515 - Phone
- (781) 307-0939
- Fax
- (781) 307-0939
- NPI assigned
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 251440 | MA | Primary |
Addresses
Primary practice location
91 Eastern Ave Ste 24
Dedham, MA 02026-4515
Mailing address
30 Ladyslipper LN
Stoughton, MA 02072-3094
Phone (781) 307-0939
Other practice location 1
1325 Washington St
Weymouth, MA 02189-2481
Phone (781) 307-0939
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251440 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1689515892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LADYSLIPPER LN",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723094",
"telephone_number": "781-307-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 EASTERN AVE STE 24",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264515",
"telephone_number": "781-307-0939",
"fax_number": "781-307-0939"
}
],
"practiceLocations": [
{
"address_1": "1325 Washington St",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021892481",
"country_code": "US",
"telephone_number": "781-307-0939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "TAMETHEA",
"middle_name": "CHARISSE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "251440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
- Lauren Elizabeth White, MS, CCC-SLP
- Lezli A. Whitehouse, M.S. CCC/SLP
- Cherie Wildrick, NP
- Valerie Noel Williams, DPT
- Nancy Larkin Williamson, M.ED. CCC/SLP
- Barbara M Wilson Arboleda, MS CCC-SLP
- Elizabeth Hayes Wilson, PSY.D.
- Emilee Marie Wilson, PA
- Windward Mental Health, LLC
- Leslie Nora Winslow-Keats, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.