Gail Fasciano, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

E40358 Issued in CT

Practice address

114 E Main St
Clinton, CT 06413-2112

Phone

(860) 664-0787

Fax

(860) 664-1982

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285707901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MAIN ST",
            "address_2": "ATTN CREDENTIALING DEPARTMENT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572718",
            "telephone_number": "860-347-6971",
            "fax_number": "860-638-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132112",
            "telephone_number": "860-664-0787",
            "fax_number": "860-664-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASCIANO",
        "first_name": "GAIL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E40358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Andrew M. Berliner
• Edward I Winokur MD
• Christopher A Fallago, DMD
• Amelia R Farnham, PHARMD
• Jody M Farrell, MS
• Katherine Audra Fillion, LPC
• Catherine Marie Finkeldey, LPC
• Five Star Supermarkets of Clinton LLC
• Margaret Flinter, APRN, PHD
• Laura Jean Gagnon, DMD

• All providers in Clinton, CT
• Registered Nurse in Connecticut

• 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.

Verify at the official NPI Registry.