Ro Andersen Pannesi, RN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

243125 Issued in MA

Practice address

126 Phoenix Ave. 3Rd Floor
Anne Sullivan Early Intervention Center
Lowell, MA 01852

Phone

(978) 453-8331

Fax

(978) 453-9254

NPI assigned

Oct 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Ro Killory Andersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1861776064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE.",
            "address_2": "ANNE SULLIVAN CTR. EARLY INTERVENTION",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-453-8331",
            "fax_number": "978-453-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PHOENIX AVE. 3RD FLOOR",
            "address_2": "ANNE SULLIVAN EARLY INTERVENTION CENTER",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-453-8331",
            "fax_number": "978-453-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNESI",
        "first_name": "RO",
        "middle_name": "ANDERSEN",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "243125",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "19411646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RO",
            "last_name": "ANDERSEN",
            "middle_name": "KILLORY",
            "prefix": "MRS.",
            "credential": "RN, IBCLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carisa Dawn Pajak, MSW
• Marion Gladys Pakingan Wong, MA
• Brendan Bunthy Pal, PHARMD
• Dayana Palencia
• Marcia A Panico, NP
• Heather Christina Panza, LMHC
• Kristina Papa, BA
• Theodore Nicholas Pappey, D.M.D.
• Kurt Paquette
• Amanda Marie Paradis

• Registered Nurse in Lowell, MA
• Providers in Lowell, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.