Tupac Frene Isme

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

12 Southern Ave
Dorchester, MA 02124-2012

Phone

(617) 708-0870

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Fathers' Uplift Family Group, LLC

  dba Fathers' UpLift Inc.

  • Clinical Social Worker
  • Dorchester, MA
  • NPI 1174975452
  NPD

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1700665619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 VERITY LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126630",
            "telephone_number": "239-380-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTHERN AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242012",
            "telephone_number": "617-708-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISME",
        "first_name": "TUPAC",
        "middle_name": "FRENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Ingelfinger, MD
• Interim House Inc
• Kathy Ann Ireland, MS, RD, LDN
• Princess Irvin
• Carlos Isava, DDS
• Jessica Elizabeth Isom, M.D.
• Nawar Issac, DDS
• Anicia Monique Ivey, MD
• Lyndon Jackson Jr.
• Nedra Denise Jackson, MSW

• Student in an Organized Health Care Education/Training Program in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.