Individual provider Active NPI

Edith Yeboah

  • Gerontology Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1083299499
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN02641 Issued in RI
Practice address
451 Andover St Ste 205
North Andover, MA 01845-5079
Phone
(781) 480-1989
NPI assigned
Mar 17, 2021
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN02641 RI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

451 Andover St Ste 205
North Andover, MA 01845-5079

Mailing address

451 Andover St Ste 205
North Andover, MA 01845-5079
Phone (718) 480-1989

Other practice location 1

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (888) 964-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20211011001347 RI Practitioner - Nurse Practitioner 1355749037 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

135 Dodge St
Providence, RI 02907-2210
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Clinicals LLC CurrentSince Apr 1, 2022 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 15, 2024 Accepting new patients
GPS Physician Group of Rhode Island PC CurrentSince Aug 7, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 2, 2022 Accepting new patients
Alignmed Partners, PC CurrentSince Aug 7, 2022 Accepting new patients

Locations

10 Woodland Dr
Coventry, RI 02816
Phone (401) 438-3250

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264

1139 Main Ave
Warwick, RI 02886
Phone (401) 739-6600

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: eyeboah@landmarkhealth-direct.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1083299499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 205",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455079",
            "telephone_number": "718-480-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 205",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455079",
            "telephone_number": "781-480-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Crossing Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025555",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN02641",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.