Analisa Echeverria, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN2299550 Issued in MA

Practice address

391 Broadway
Suite 301
Everett, MA 02149-3470

Phone

(617) 389-2121

Fax

(617) 389-4194

NPI assigned

Sep 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Analisa Potishnak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aecheverria33606@direct.chppoc.masshiway.net

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.

• TLC Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Revere, MA
  • NPI 1962708271
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1285181925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MUSEUM WAY APT 1726",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411898",
            "telephone_number": "413-374-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BROADWAY",
            "address_2": "SUITE 301",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493470",
            "telephone_number": "617-389-2121",
            "fax_number": "617-389-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "ANALISA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2299550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANALISA",
            "last_name": "POTISHNAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Veenu Gill and Associates P.C.
• Wayne Crawford Draper, M.D.
• Tuly Van Prehn Duprat, CD(DONA)
• Ian Dwyer
• Elizabeth R Eberhardt, LCSW
• Joanne Edouard, LMHC
• Yazdan Eighaeisedeh
• Julie Marie Eisan
• Sean Mbengu Elad
• Soraya Elahi, DMD, MSCD

• Pediatric Nurse Practitioner in Everett, MA
• Providers in Everett, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.