TAHIRA WILSON MSN, RN, PMHNP-BC
NPI 1629677182
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
About TAHIRA WILSON
This page provides the complete NPI Profile along with additional information for Tahira Wilson, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1629677182 assigned on October 2020. The practitioner's primary taxonomy code is 363LP0808X with license number SP036001 (PA). The provider is registered as an individual and her NPI record was last updated July 2026.
- NPI
- 1629677182 Verify this NPI
- Provider Name
- TAHIRA WILSON MSN, RN, PMHNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1521 66TH AVE PHILADELPHIA, PA 19126
- Location Phone
- (215) 237-6439
- Mailing Address
- 1925 KEITH RD UNIT 9 ABINGTON, PA 19001
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-25-2020
- Last Update Date
- 07-10-2026
- Code Navigator
A nurse practitioner (NP) like Tahira Wilson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP036001
- License State
- PA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | RN675987 (PA) |
| 2 | 251B00000X | Agencies | Case Management | |
| 3 | 251E00000X | Agencies | Home Health | |
| 4 | 251G00000X | Agencies | Hospice Care, Community Based | |
| 5 | 251S00000X | Agencies | Community/Behavioral Health | |
| 6 | 251T00000X | Agencies | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 7 | 253Z00000X | Agencies | In Home Supportive Care | |
| 8 | 372500000X | Nursing Service Related Providers | Chore Provider | |
| 9 | 372600000X | Nursing Service Related Providers | Adult Companion | |
| 10 | 3747A0650X | Nursing Service Related Providers | Technician | |
| 11 | 3747P1801X | Nursing Service Related Providers | Technician | |
| 12 | 376J00000X | Nursing Service Related Providers | Homemaker | |
| 13 | 385H00000X | Respite Care Facility | Respite Care |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1038259300001 | MEDICAID (05) | PA |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629677182, enumerated as an "individual" on October 25, 2020.
The provider is located at 1521 66TH AVE PHILADELPHIA, PA 19126 and the phone number is (215) 237-6439.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
