Individual provider Active NPI

Edith Prophete

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1083571749
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2339494 Issued in MA
Practice address
660 Harrison Ave Ste 230207
Boston, MA 02118-2304
Phone
(617) 446-3165
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN2339494 MA Primary

Addresses

Primary practice location

660 Harrison Ave Ste 230207
Boston, MA 02118-2304

Mailing address

660 Harrison Ave Ste 230207
Suite 230/207
Boston, MA 02118-2304
Phone (617) 446-3165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pittsburgh, PA 15251

PO Box
223941 500 Ross St 154 0455
Pittsburgh, PA 15251-2941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2339494MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1083571749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HARRISON AVE STE 230207",
            "address_2": "SUITE 230/207",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182304",
            "telephone_number": "617-446-3165",
            "fax_number": "617-238-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HARRISON AVE STE 230207",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182304",
            "telephone_number": "617-446-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPHETE",
        "first_name": "EDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2339494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.