Anne-Marie Antonellis

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN2287248 Issued in MA

Practice address

133 Williams Ave
Hyde Park, MA 02136-3932

Phone

(508) 272-6282

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By the provider in NPPES

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 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1043939507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WILLIAMS AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WILLIAMS AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363932",
            "telephone_number": "508-272-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLIS",
        "first_name": "ANNE-MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "RN2287248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN2287248",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURACE",
            "identifier": "RN2287248",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annemarie.sandoval@childrens.havard.edu",
            "affiliation": "N",
            "address_1": "133 Williams Ave",
            "city": "Hyde Park",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021363932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neissa Ambroise
• American Ambulance Inc
• Priscilla Akosua Amoah
• Edward Earl Anderson Jr.
• Christian Andrews
• Rita Elias Aoun, RPH
• Arbit Chiropractic, LLC
• Jordan J Arbit, D.C.
• Zachary E. Arbit, D.C.
• Arch Orthodontics, PC

• Lactation Consultant (Registered Nurse) in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Lactation Consultant (Registered Nurse) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.