ANDREA L. LAROSA (NPI# 1770840829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770840829 |
| Entity Type | Individual |
| Full Name | ANDREA L. LAROSA |
| Credential | FNP |
| Practice Address |
44 South Main Street Box 2000 Randolph VT 05060 |
| Mailing Address |
29 Iris Ln South Burlington VT 05403-7540 |
| Practice Telephone | 8027287000 |
| Practice Fax Number | 8027282613 |
| Mailing Telephone | 8023183323 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1010084543 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 047Z301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548795735 | Andrea Larosa | Student in an Organized Health Care Education/Training Program | 196 Merrick Rd, South Nassau Family Medicine, Attn: Joanne Barkley, Oceanside, NY 11572-1420 | 2017-04-25 |
| Street Address |
44 SOUTH MAIN STREET BOX 2000 |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| 1316128168 | Teresa Rodimon | Counselor | 11 Main Street, Randolph, VT 05060 | 2007-11-21 |
| 1578731279 | August R. Meyer | Psychologist | 8 Mountain Ave, Randolph, VT 05060-1017 | 2008-02-15 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438441 | Enrich Wellness Health Center LLC | Nurse Practitioner | 950 N Main St Ste 203, Randolph, MA 02368-3064 | 2020-05-07 |
| 1558910521 | Rebekah Salisbury | Nurse Practitioner | 714 State Route 10, Randolph, NJ 07869-2058 | 2019-09-11 |
| 1104334655 | Kelly Vanwyck | Nurse Practitioner | 477 Route 10 Ste 205, Randolph, NJ 07869-2144 | 2018-01-18 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1992257679 | Christopher E Anya | Nurse Practitioner | 13108 Chestnut W, Randolph, MA 02368-6352 | 2016-10-28 |
| 1144330002 | Old Colony Hospice Inc | Nurse Practitioner | One Credit Union Way, Randolph, MA 02368 | 2006-08-30 |
| 1417931833 | Teresa J Wiersma | Nurse Practitioner | 504 S High St, Randolph, WI 53956-1499 | 2005-11-30 |
| 1740806793 | Tracy B Webster | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-24 |
| 1245683499 | Rachel Salloway | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-07-22 |
| 1104276948 | Alicia Mavis | Nurse Practitioner | 106 E Wayne St, Randolph, NE 68771-5300 | 2016-06-13 |
| Find all providers in RANDOLPH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.