Rachel Fanning

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

299237-1 Issued in NY

Practice address

296 Pennels Dr
Rochester, NY 14626-4917

Phone

(315) 719-6012

NPI assigned

Aug 31, 2014

Last updated

Aug 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1013317759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 PENNELS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 PENNELS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264917",
            "telephone_number": "315-719-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "299237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Fanciullo, M.D.
• Bethany Fanelli, PA-C
• Jessica Elizabeth Fanelli, MD
• Nicole Fanelli
• Benjamin Fang
• Catherine Fantauzzo, LPN
• Eric Fantauzzo, CPED
• Thomas W Fantauzzo, C.PED
• Caitlynn Fantigrossi, PNP
• Doreen Lenore Fanton, RN

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.