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Berdiaeffe Etienne , RN, BSN

General Practice • Boston, MA

Active NPI 1528717162 Individual Practitioner Female Practitioner
Practice location in NPPES

632 Blue Hill Ave
Boston, MA 021213213

Call 6178253400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

632 Blue Hill Ave

Boston, MA 021213213

Telephone 6178253400
Organization at the Same NPPES Address or Phone
Harvard Street Neighborhood Health Center Facility NPI 1477302065

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boston and Massachusetts

17 active clinicians are listed under General Practice with a practice address in Boston, MA (135 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

0% of these 17 clinicians have the CMS telehealth indicator.

5.9% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-21
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES MA 20142319

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
NPI 1740678341

Doctor of Dental Surgery

Maxwelle Albin

Dentist - General Practice

NPI 1952797797
Alaa Alrababa

Dentist - General Practice

NPI 1013303437
Dr. Uduak Anako-Okereke , DMD

Dentist - General Practice

NPI 1073633996

Doctor of Dental Medicine

NPI 1811506397

Master of Science in Nursing, Registered Nurse, Certified Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Sarah Desmond , FNP-BC, CPNP-PC

Nurse Practitioner - Family

NPI 1407834658

Family Nurse Practitioner (Board Certified), CPNPPC

Career & Practice History

NPI enumerated March 21, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from April 2022 to August 2026.

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NPI Administrative Meta

NPI Number: 1528717162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2022
Last Update: March 21, 2022
Sole Proprietor: No

Other General Practices in Boston

Healthcare providers in Boston

Mailing Address

148 Hubbard Ave

Brockton, MA 023017040

Phone: 8579281989

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.