Active NPI
Tarma Jean Johnson, FNP-BC
- Nurse Practitioner
- Mattapan, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- MA186837
- Practice address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - Phone
- (617) 898-9057
- Fax
- (617) 296-5408
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 25, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | MA186837 | MA | Primary |
Addresses
Primary practice location
1575 Blue Hill Ave
Mattapan, MA 02126-2122
Mailing address
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 898-9042
Other names 1
- Tarma Jean Aderinkomi
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA186837 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mattapan Community Health Center Inc | Current | Accepting new patients | |
| Boston University Medical Center Radiologists, Inc. | Past | Accepting new patients | |
| Mattapan Community Health Center Inc | Past | Accepting new patients |
Locations
1575 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-0061
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Boston, MA
- NPI 1942869342
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Federally Qualified Health Center (FQHC)
- Mattapan, MA
- NPI 1639240393
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Transitional Care Center and Stabilization Care Center
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
dba South Boston Community Health Center
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
dba Greater Roslindale Medical and Dental Center
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
dba Dorchester House Multi Service Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
dba East Boston Neighborhood Health Center
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1982781977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 BLUE HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-898-9042",
"fax_number": "617-296-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BLUE HILL AVE",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-898-9057",
"fax_number": "617-296-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TARMA",
"middle_name": "JEAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "MA186837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARMA",
"last_name": "ADERINKOMI",
"middle_name": "JEAN",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.