Linda Ann Fasci, APRN

Individual provider Active NPI Primary Care Nurse Practitioner · Williamstown, VT

NPI 1043712342 · NPPES record last updated Mar 2, 2018

Key facts

NPI
1043712342
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
101.0132412 (VT)
Practice address
118 Clark Rd
Williamstown, VT 05679-9449
Phone
(508) 989-8259
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novella Infusion LLC (14 clinicians)

Practice addresses (Care Compare)

56 W Twin Oaks Ter
Suite 7
South Burlington, VT 05403-7106
Phone (802) 300-3540

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190225002022 VT Practitioner - Nurse Practitioner 5395084032 Reassigns benefits to 2 organizations
Practice locations: Barre, VT

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
101.0132412VTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novella Infusion LLC Current
since Mar 20, 2024
Accepting new patients
Infinite Medical PC Current
since Nov 30, 2024
Accepting new patients
Novella Infusion LLC Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

378 Prospect St
Barre, VT 05641
Phone (802) 476-4166

56 W Twin Oaks Ter
Ste 7
South Burlington, VT 05403
Phone (802) 300-3540

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 101.0132412 VT Yes

Addresses

Primary practice location

118 Clark Rd
Williamstown, VT 05679-9449

Mailing address

30 Pierce Rd Unit 2
Barre, VT 05641-9741
Phone (508) 989-8259

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 2, 2018.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1043712342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PIERCE RD UNIT 2",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056419741",
            "telephone_number": "508-989-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLARK RD",
            "city": "WILLIAMSTOWN",
            "state": "VT",
            "postal_code": "056799449",
            "telephone_number": "508-989-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCI",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VT",
            "license": "101.0132412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, VT

All providers in Williamstown, VT · Primary Care Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.