Individual provider Active NPI

Anna Louise Panettiere, LAC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1487786364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1420-01 Issued in NY
Practice address
154 W 14TH St
4 Floor
New York, NY 10011-7307
Phone
(646) 486-5756
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1420-01 NY Primary

Addresses

Primary practice location

154 W 14TH St
4 Floor
New York, NY 10011-7307

Mailing address

95 Christopher St
4G
New York, NY 10014-6605
Phone (212) 727-9371

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

State licenses

LicenseStateTypeSpecialty
1420-01NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487786364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHRISTOPHER ST",
            "address_2": "4G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146605",
            "telephone_number": "212-727-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W 14TH ST",
            "address_2": "4 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117307",
            "telephone_number": "646-486-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANETTIERE",
        "first_name": "ANNA",
        "middle_name": "LOUISE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1420-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.