Individual provider Active NPI

Linda Chiapetta Fagan, ARNP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1154590602
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN647292 Issued in FL
Practice address
45 NW 4TH St
Homestead, FL 33030-5941
Phone
(305) 246-8224
Fax
(305) 246-8556
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN647292 FL Primary

Addresses

Primary practice location

45 NW 4TH St
Homestead, FL 33030-5941

Mailing address

45 NW 4TH St
Homestead, FL 33030-5941
Phone (305) 246-8224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130107000220 FL Practitioner - Nurse Practitioner 6507018504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 NW 4TH St
Homestead, FL 33030-5941
Phone (305) 246-8224

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN647292FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Linda R. Fagan Inc. Family CurrentSince Jan 1, 1998 Accepting new patients
Linda R. Fagan, Inc. Family Past Accepting new patients

Locations

45 NW 4th St
Homestead, FL 33030
Phone (305) 245-2926

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1154590602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NW 4TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305941",
            "telephone_number": "305-246-8224",
            "fax_number": "305-246-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW 4TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305941",
            "telephone_number": "305-246-8224",
            "fax_number": "305-246-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "LINDA",
        "middle_name": "CHIAPETTA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN647292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.