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Export Provider Record NPI 1396767877
Lisa A ProfettoARNP
Active
NPI Number1396767877
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1396767877
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-24
Last Updated2007-07-08
Mailing Address1521 County Rd
Walpole, NH 03608-4938
United States
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Primary Practice Address590 Court St, Dartmouth-Hitchcock Keene
Keene, NH 03431
United States
Phone: (603) 354-5454
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineNH047837-23-03
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About NPI 1396767877

Lisa A Profetto ARNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1396767877. The primary specialty listed is Family Medicine. The provider is located in Keene, NH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396767877?

NPI 1396767877 belongs to Lisa A Profetto ARNP, a Family Medicine in Keene, NH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396767877 active?

The current status of NPI 1396767877 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1396767877?

NPI 1396767877 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1396767877?

You can verify NPI 1396767877 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1396767877?

The primary practice address on file for NPI 1396767877 is 590 Court St, Keene, NH 03431. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396767877 issued?

NPI 1396767877 was first issued (enumerated) on 2006-07-24. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Lisa A Profetto is located at 590 Court St, Keene, NH. Use the map below to find directions or verify the practice location.

📍 590 Court St, Keene, NH 03431  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Lisa A Profetto. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1396767877. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine047837-23-03NH
Data Verified from CMS NPPES Last synced: 2026-08-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162