Edith Karina De Soto, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

115516 Issued in NE

Practice address

483 N Mulford Rd Ste 8
Rockford, IL 61107-5164

Phone

(779) 210-2964

Fax

(779) 269-0744

NPI assigned

Apr 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Toledo Mental Health Clinic PLLCGroup PAC ID 0547755142, 4 clinicians

Practice addresses (Care Compare)

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.

• Toledo Mental Health Clinic PLLC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1366326068

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Montes Psychiatric Center, P.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1629694278
  Medicare reassignment

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1699520932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD STE 8",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD STE 8",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075164",
            "telephone_number": "779-210-2964",
            "fax_number": "779-269-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S 44th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681052809",
            "country_code": "US",
            "telephone_number": "402-807-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOTO",
        "first_name": "EDITH",
        "middle_name": "KARINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "115516",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.029566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aulbrey E De Alwis, APN
• Emanuel Edwardo De la Fuente, DMD
• Joanna Marie Dy De Leon, MS, LCPC
• Melanie Janelle De Ocampo, PHARMD
• Julie A De Roush, R.D.
• Christina De Suno
• Nicole De Vera
• Anne Ellen De Verneuil, MA, CADC
• Lori Jean De Zanek, R.D.
• Dean J. Kokinias D.D.S., P.C.

• Psychiatric/Mental Health Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.