Individual provider Active NPI

Sara Rosa Panarello, D.C.

  • Chiropractor
  • Lynn, MA
National Provider Identifier
1255480588
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2382 Issued in MA
Practice address
9 Nahant St
Lynn, MA 01902-3221
Phone
(781) 259-8990
Fax
(781) 259-0738
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2382 MA Primary

Addresses

Primary practice location

9 Nahant St
Lynn, MA 01902-3221

Mailing address

18 Station Ave
Newton, MA 02461-1222

Other identifiers 1

IdentifierTypeStateIssuer
Y36674OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000267 MA Practitioner - Chiropractic 1153343686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

186 Burrill St
Swampscott, MA 01907-1835
Phone (781) 593-2388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2382MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Potential Health PC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients
Full Potential Chiropractic, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Ryan Chiropractic PC Chiropractor CurrentSince Jun 15, 2013 Accepting new patients
Bay State Physical Therapy of Randolph Inc Chiropractor PastSince Jan 13, 2015 Accepting new patients

Locations

9 Nahant St
Lynn, MA 01902
Phone (781) 595-6560

186 Burrill St
Swampscott, MA 01907
Phone (781) 593-2388

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1255480588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STATION AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023221",
            "telephone_number": "781-259-8990",
            "fax_number": "781-259-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARELLO",
        "first_name": "SARA",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36674",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.