Priya Marie Hippolyte

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2287823 Issued in MA

Practice address

2 Granite Ave Ste 260
Milton, MA 02186-4381

Phone

(617) 369-7136

Fax

(617) 369-7136

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willow Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Milton, MA
  • NPI 1225710734

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1124592324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRANITE AVE STE 260",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864381",
            "telephone_number": "617-369-7136",
            "fax_number": "617-369-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRANITE AVE STE 260",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864381",
            "telephone_number": "617-369-7136",
            "fax_number": "617-369-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Main St Ste 15",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "MA",
            "postal_code": "020813753",
            "country_code": "US",
            "telephone_number": "508-660-1666",
            "fax_number": "508-660-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIPPOLYTE",
        "first_name": "PRIYA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2287823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124592324",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Hartman, LCSW
• Ashley Hartwell, ATC
• Leyla Herisinazhad Heris, MD
• Erin Herrmann, CRNA
• Highland Surgical Associates LLC
• Mark T Hodgman, M.D.
• Elizabeth Hodlin, LICSW
• Ginger Ann Hoffman, RD
• Daniel Holder
• Kristin L Holte, NP

• Psychiatric/Mental Health Nurse Practitioner in Milton, MA
• Providers in Milton, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.