Catherine Fantauzzo, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

236691-1 Issued in NY

Practice address

1342 Emerson St
Unit D
Rochester, NY 14606-3054

Phone

(585) 314-3438

NPI assigned

Jul 7, 2007

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

Other identifiers 1

Other names 1

• Catherine Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1306044607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 EMERSON ST",
            "address_2": "UNIT D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063054",
            "telephone_number": "585-314-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 EMERSON ST",
            "address_2": "UNIT D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063054",
            "telephone_number": "585-314-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTAUZZO",
        "first_name": "CATHERINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-07",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "236691-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02395917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "JOHNSON",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Fanelli, PA-C
• Jessica Elizabeth Fanelli, MD
• Nicole Fanelli
• Benjamin Fang
• Rachel Fanning
• Eric Fantauzzo, CPED
• Thomas W Fantauzzo, C.PED
• Caitlynn Fantigrossi, PNP
• Doreen Lenore Fanton, RN
• Joseph J Fantuzzo, D.D.S, M.D.

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.