Individual provider Active NPI

Tarajean Lewis, CNP

  • Women's Health Nurse Practitioner
  • Woburn, MA
National Provider Identifier
1730240607
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
251336 Issued in MA
Practice address
20 Tower Office Park
Woburn, MA 01801-2113
Phone
(781) 305-3300
Fax
(781) 305-3227
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 251336 MA Primary

Addresses

Primary practice location

20 Tower Office Park
Woburn, MA 01801-2113

Mailing address

20 Tower Office Park
Woburn, MA 01801-2113
Phone (781) 305-3300

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
I20070205000024 MA Practitioner - Nurse Practitioner 3971505967 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Recovery Professional Corporation CurrentSince Aug 14, 2025 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Oct 19, 2018 Accepting new patients
Middlesex Recovery, P.C. CurrentSince Aug 14, 2025 Accepting new patients

Locations

50 Rowe St
Ste 400
Melrose, MA 02176
Phone (781) 665-6605

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

20 Tower Office Park
Woburn, MA 01801
Phone (781) 305-3300

1720 Lakepointe Dr
Ste 117
Lewisville, TX 75057

Interoperability endpoints

  • Direct secure messaging: tlewis49178@tuftsmedicine.direct-ci.com

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1730240607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOWER OFFICE PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012113",
            "telephone_number": "781-305-3300",
            "fax_number": "781-305-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER OFFICE PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012113",
            "telephone_number": "781-305-3300",
            "fax_number": "781-305-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TARAJEAN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "251336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.