Active NPI
Stefanie Fabiano, RN
- School Registered Nurse
- Revere, MA
National Provider Identifier
1013573252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN2264660
- Practice address
- 107 Newhall St
Revere, MA 02151-2326 - Phone
- (781) 388-7513
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN2264660 | MA | Primary |
Addresses
Primary practice location
107 Newhall St
Revere, MA 02151-2326
Mailing address
5 Hollis St
Saugus, MA 01906-2903
Phone (617) 888-2191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2264660 | MA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1013573252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HOLLIS ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019062903",
"telephone_number": "617-888-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NEWHALL ST",
"city": "REVERE",
"state": "MA",
"postal_code": "021512326",
"telephone_number": "781-388-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIANO",
"first_name": "STEFANIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MA",
"license": "RN2264660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.