Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAHIRA WILSON MSN, RN, PMHNP-BC
NPI 1629677182
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Q: What is Tahira Wilson's NPI number?

The NPI number for Tahira Wilson is 1629677182. It was assigned to this individual provider in the NPPES registry on October 25, 2020.

Q: What is Tahira Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tahira Wilson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2020

1521 66TH AVE, PHILADELPHIA, PA 19126(215) 237-6439 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Oct 25, 2020 (2 updates tracked since 2020).

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About Tahira Wilson Msn, Rn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHIRA WILSON MSN, RN, PMHNP-BC (NPI 1629677182) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP036001) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1629677182

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTAHIRA WILSONCredential: MSN, RN, PMHNP-BC

Location Address1521 66TH AVEPhiladelphia, PA 19126-2766

Mailing Address1925 Keith Rd Unit 9Abington, PA 19001-2628

Phone(215) 237-6439

Sole ProprietorYes

Enumeration DateOctober 25, 2020

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1629677182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP036001

Also ListedRegistered NurseTaxonomy 163W00000X · License RN675987 (PA)

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedHospice Care, Community BasedTaxonomy 251G00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationTaxonomy 251T00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedChore ProviderTaxonomy 372500000X

Also ListedAdult CompanionTaxonomy 372600000X

Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

Also ListedHomemakerTaxonomy 376J00000X

Also ListedRespite CareTaxonomy 385H00000X

1521 66TH AVE, Philadelphia, PA 19126

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Other Identifiers 1

Medicaid1038259300001PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEART OF MINE HOME CARE, LLC

Home Health

1521 66TH AVE
PHILADELPHIA, PA 19126

Philadelphia County (215) 237-6439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tahira Wilson's NPI number?

The NPI number for Tahira Wilson is 1629677182. It was assigned to this individual provider in the NPPES registry on October 25, 2020.

Where is Tahira Wilson located?

Tahira Wilson practices at 1521 66th Ave, Philadelphia, PA 19126. The listed phone number is (215) 237-6439.

What is Tahira Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tahira Wilson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.