Individual provider Active NPI

Lisa Michelle Paglierani, MS, CGC

  • Genetic Counselor (M.S.)
  • Center Conway, NH
National Provider Identifier
1215511183
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC404 Issued in MA
Practice address
1681 Brownfield Road
Center Conway, NH 03813-4720
Phone
(603) 662-0374
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 0096 NH
Genetic Counselor (M.S.) 170300000X GC000937 CA
Genetic Counselor (M.S.) 170300000X 0139000125 VA
Genetic Counselor (M.S.) 170300000X 10611248-3601 UT
Genetic Counselor (M.S.) 170300000X GC.000334 CT
Genetic Counselor (M.S.) 170300000X GC404 MA Primary

Addresses

Primary practice location

1681 Brownfield Road
Center Conway, NH 03813-4720

Mailing address

330 Brookline Ave
Boston, MA 02215-5491
Phone (617) 667-2636

Other identifiers 2

IdentifierTypeStateIssuer
GC404OtherMAGENETIC COUNSELING LICENSE
0096OtherNHGENETIC COUNSELING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.portal.bidmc.org Health Information Exchange (HIE)

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
GC000937CAMDGenetic Counselor (M.S.)
GC.000334CTMDGenetic Counselor (M.S.)
GC404MAMDGenetic Counselor (M.S.)
0096NHMDGenetic Counselor (M.S.)
10611248-3601UTMDGenetic Counselor (M.S.)
0139000125VAMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1215511183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155491",
            "telephone_number": "617-667-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 BROWNFIELD ROAD",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134720",
            "telephone_number": "603-662-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIERANI",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NH",
            "license": "0096",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000937",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VA",
            "license": "0139000125",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "10611248-3601",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CT",
            "license": "GC.000334",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "GC404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELING LICENSE",
            "identifier": "GC404",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELING LICENSE",
            "identifier": "0096",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.portal.bidmc.org",
            "affiliation": "N",
            "endpointDescription": "Provider portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Online medical record",
            "address_1": "330 Brookline Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022155491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Center Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.