Active NPI
Lita Maria Fasano, ED.M.
- Specialist
- Allston, MA
National Provider Identifier
1225513799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 264106
- Practice address
- 40 Armington St
Allston, MA 02134-2406 - Phone
- (617) 635-8534
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 264106 | MA | Primary |
Addresses
Primary practice location
40 Armington St
Allston, MA 02134-2406
Mailing address
40 Armington St
Allston, MA 02134-2406
Phone (617) 635-8534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1225513799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ARMINGTON ST",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021342406",
"telephone_number": "617-635-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ARMINGTON ST",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021342406",
"telephone_number": "617-635-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASANO",
"first_name": "LITA",
"middle_name": "MARIA",
"credential": "ED.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "264106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.