Anna Athanasopoulos, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2381981 Issued in MA

Practice address

105 Millbury St
Auburn, MA 01501-3205

Phone

(508) 832-9691

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aathanasopoulos40802@direct.chppoc.masshiway.net

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.

• Child Health Associates

  • Pediatrics Physician
  • Auburn, MA
  • NPI 1336727189
  NPD
• Child Health Associates

  • Pediatrics Physician
  • Auburn, MA
  • NPI 1508926007
  NPD (past)

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1043034127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BOWLEY AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLBURY ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015013205",
            "telephone_number": "508-832-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANASOPOULOS",
        "first_name": "ANNA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2381981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Armanious, RPH
• Success Akusika Asalu, BCBA
• Assaf, Inc (Auburn SleepMed)
• Assaf, Inc
• Wassim Assaf, MD
• Demi Athans, DMD
• Auburn Apothecary LLC
• Auburn Apothecary LLC (Auburn Pharmacy & Home Health Care)
• Auburn Dental Group P.C.
• Auburn Family Dental

• Pediatric Nurse Practitioner in Auburn, MA
• Providers in Auburn, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.