Individual provider Active NPI

Priya Marie Hippolyte

  • Psychiatric/Mental Health Nurse Practitioner
  • Milton, MA
National Provider Identifier
1124592324
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 RN2287823 MA Primary

Addresses

Primary practice location

2 Granite Ave Ste 260
Milton, MA 02186-4381

Mailing address

2 Granite Ave Ste 260
Milton, MA 02186-4381
Phone (617) 369-7136

Other practice location 1

1 Marina Park Dr Ste 1410
Boston, MA 02210-1874
Phone (617) 369-7136

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Wellness PLLC Single Specialty Current Accepting new patients

Locations

2 Granite Ave
Ste 260
Milton, MA 02186
Phone (617) 369-7136

Organizations & group practices 1

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "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": "1 Marina Park Dr Ste 1410",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022101874",
            "country_code": "US",
            "telephone_number": "617-369-7136",
            "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": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2287823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.