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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190225002022 | VT | Practitioner - Nurse Practitioner | 5395084032 |
Reassigns benefits to 2 organizations Practice locations: Barre, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0132412 | VT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novella Infusion LLC | Current |
Accepting new patients | |
| Infinite Medical PC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Chantel Bernier
- Central Vermont Supervisory Union
- Collaborative Solutions Corporation
- Jessa Denton
- Johan Green
- Lauren Lawrence
- Pehle Counseling Services
- Margaret Pehle
- Mark Pehle
All providers in Williamstown, VT · Primary Care Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.