Natalia Fanani, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6387 Issued in CT

Practice address

2 Lathrop Ave
Norwich, CT 06360-2340

Phone

(860) 204-0332

Fax

(860) 204-0115

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Groton LLCGroup PAC ID 8527297050, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• William W Backus Hospital Hospital, Norwich, CT, CCN 070024

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Integrated Dermatology of Groton LLC

  • Dermatology Physician
  • Groton, CT
  • NPI 1265868558
  Medicare reassignment Care Compare group
• Healthcall Primary Care Center PC

  • Internal Medicine Physician
  • Norwich, CT
  • NPI 1871636076
  Medicare reassignment
• Eric R. Wolf, M.D., P.C.

  • Dermatology Physician
  • Groton, CT
  • NPI 1447459672
  NPD (past)
• Stillwater Primary Care LTD

  • Primary Care Clinic/Center
  • Chepachet, RI
  • NPI 1174141345
  NPD (past)

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

• The William W Backus Hospital

  • General Acute Care Hospital
  • Norwich, CT
  • NPI 1467517235
  Care Compare affiliation
• The William W Backus Hospital

  • General Acute Care Hospital
  • Norwich, CT
  • NPI 1639135718
  Care Compare affiliation
• William W Backus Hospital

  • Psychiatric Hospital Unit
  • Norwich, CT
  • NPI 1730243536
  Care Compare affiliation

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1164124657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PUTNAM PIKE",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028141403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LATHROP AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602340",
            "telephone_number": "860-204-0332",
            "fax_number": "860-204-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANANI",
        "first_name": "NATALIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "6387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Joseph Fabry, PHYSICAL THERAPIST
• Daniel Fagnant, DO
• Serafina Eulalia Fain
• Katelyn Falco, PHARMACIST
• Family Orthodontic Care
• Nicolette P Fardon
• Gilma Farina, BCBA
• Maria Farina
• Charlotte T Farmer, LPC
• Leslie Farrell

• Medical Physician Assistant in Norwich, CT
• Providers in Norwich, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.