Organization Active NPI

Lisa M Anderson

  • Psychiatric/Mental Health Nurse Practitioner
  • Swansea, MA
National Provider Identifier
1578163796
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LISA M ANDERSON
Practice address
25 Market St Ste 14
Swansea, MA 02777-3998
Phone
(774) 327-0060
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Dawn Lawler
Title
Off MGR
Phone
(800) 735-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

25 Market St Ste 14
Swansea, MA 02777-3998

Mailing address

25 Market St Ste 14
Swansea, MA 02777-3998
Phone (774) 327-0060

National Provider Directory

National Provider Directory

Locations

25 Market St
Ste 14
Swansea, MA 02777
Phone (401) 486-5234

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1578163796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARKET ST STE 14",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773998",
            "telephone_number": "774-327-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARKET ST STE 14",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773998",
            "telephone_number": "774-327-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "800-735-8951"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.