Active NPI
Andrea Lynne Fandetti, OTR/L, COTA/L
- Occupational Therapist
- Nashua, NH
National Provider Identifier
1346996097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3274
- Practice address
- 22 Hunt St
Nashua, NH 03060-4426 - Phone
- (603) 889-5450
- NPI assigned
- Feb 22, 2022
- Last updated
- Feb 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3274 | NH | Primary |
Addresses
Primary practice location
22 Hunt St
Nashua, NH 03060-4426
Mailing address
358 Dunstable Rd
Tyngsboro, MA 01879-2014
Phone (401) 481-5748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3274 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1346996097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 DUNSTABLE RD",
"city": "TYNGSBORO",
"state": "MA",
"postal_code": "018792014",
"telephone_number": "401-481-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HUNT ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604426",
"telephone_number": "603-889-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANDETTI",
"first_name": "ANDREA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "OTR/L, COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.