Active NPI
Lisa Rosano, R.N, N.P
- Psychiatric/Mental Health Nurse Practitioner
- Andover, MA
National Provider Identifier
1164848768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2284757
- Practice address
- 800 Brickstone SQ
Andover, MA 01810-0181 - Phone
- (617) 665-7171
- NPI assigned
- Mar 7, 2014
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Boston, MA
- NPI 1316817117
-
- Psychiatric/Mental Health Nurse Practitioner
- Franklin, MA
- NPI 1457101214
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.