Individual provider Active NPI

Linda Ann Fasci, APRN

  • Primary Care Nurse Practitioner
  • Williamstown, VT
National Provider Identifier
1043712342
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
101.0132412 Issued in VT
Practice address
118 Clark Rd
Williamstown, VT 05679-9449
Phone
(508) 989-8259
NPI assigned
Mar 2, 2018
Last updated
Mar 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novella Infusion LLCGroup PAC ID 1254742471, 14 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0132412VTMDPrimary Care Nurse Practitioner

Practice roles

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.