Active NPI
Laura Beth Fanning
- Allergy & Immunology Physician
- Chestnut Hill, MA
National Provider Identifier
1043493067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 235903
- Practice address
- 850 Boylston St
Suite 540
Chestnut Hill, MA 02467-2477 - Phone
- (617) 732-9850
- NPI assigned
- Dec 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 235903 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 235903 | MA |
Addresses
Primary practice location
850 Boylston St
Suite 540
Chestnut Hill, MA 02467-2477
Mailing address
850 Boylston St
Suite 540
Chestnut Hill, MA 02467-2477
Phone (617) 732-9850
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Womens Physicians Organization Inc | Allergy & Immunology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Boston, MA
- NPI 1770501215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1043493067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BOYLSTON ST",
"address_2": "SUITE 540",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672477",
"telephone_number": "617-732-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BOYLSTON ST",
"address_2": "SUITE 540",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024672477",
"telephone_number": "617-732-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "LAURA",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "235903",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "235903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.