Individual provider Active NPI

Lisa Rosano, R.N, N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Andover, MA
National Provider Identifier
1164848768
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2284757 Issued in MA
Practice address
800 Brickstone SQ
Andover, MA 01810-0181
Phone
(617) 665-7171
NPI assigned
Mar 7, 2014
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2284757 MA Primary
Registered Nurse 163W00000X RN2284757 MA

Addresses

Primary practice location

800 Brickstone SQ
Andover, MA 01810-0181

Mailing address

300 Brickstone SQ Ste 201
Andover, MA 01810-1497
Phone (617) 665-7171

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
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Form Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Rosano Psychiatry and Wellness, PLLC. Psychiatric/Mental Health Current Accepting new patients

Organizations & group practices 2

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1164848768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRICKSTONE SQ STE 201",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101497",
            "telephone_number": "617-665-7171",
            "fax_number": "773-825-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BRICKSTONE SQ",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100181",
            "telephone_number": "617-665-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANO",
        "first_name": "LISA",
        "credential": "R.N, N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2284757",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2284757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.