Active NPI
Herman Joseph Fossi, RN
- Registered Nurse
- South Hero, VT
National Provider Identifier
1245352251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 026-0031307
- Practice address
- 14 Cedar St
South Hero, VT 05486-4708 - Phone
- (802) 372-3376
- Fax
- (802) 372-3376
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 026-0031307 | VT | Primary |
Addresses
Primary practice location
14 Cedar St
South Hero, VT 05486-4708
Mailing address
14 Cedar St
South Hero, VT 05486-4708
Phone (802) 372-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012871 | Medicaid | VT |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026-0031307 | VT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245352251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CEDAR ST",
"city": "SOUTH HERO",
"state": "VT",
"postal_code": "054864708",
"telephone_number": "802-372-3376",
"fax_number": "802-372-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CEDAR ST",
"city": "SOUTH HERO",
"state": "VT",
"postal_code": "054864708",
"telephone_number": "802-372-3376",
"fax_number": "802-372-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSSI",
"first_name": "HERMAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VT",
"license": "026-0031307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012871",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Hero, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.