Active NPI
Margaret Fasano, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Daytona Beach, FL
National Provider Identifier
1417109919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP9336178
- Practice address
- 303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709 - Phone
- (386) 425-2285
- Fax
- (386) 425-7522
- NPI assigned
- Oct 15, 2008
- Last updated
- Nov 17, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F4011141 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5005385 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9336178 | FL | Primary |
Addresses
Primary practice location
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Mailing address
PO Box 732901
Dallas, TX 75373-2901
Phone (386) 226-4590
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4011141 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karat Health, Inc. | Past | Accepting new patients | |
| Freedom Recovery LLC | Past | Accepting new patients | |
| Samuel Field Ym&Ywha | Past | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients | |
| Heritage Psychiatry Services, P.C. | Past | Accepting new patients | |
| Seniorstat Psychiatric PC | Past | Accepting new patients | |
| Johnston County Public Health Department | Past | Accepting new patients | |
| Freedom Recovery LLC | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Geriatric Psychiatry Physician
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- NPI 1255667465
-
- State or Local Public Health Clinic/Center
- Smithfield, NC
- NPI 1528157211
-
- Behavioral Neurology & Neuropsychiatry Physician
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- NPI 1093228801
-
- Adult Mental Health Clinic/Center
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-
- Psychiatry Physician
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- NPI 1497814933
-
dba Cerebral Palsy of NYS
- Clinic/Center
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- NPI 1255496642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1417109919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732901",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732901",
"telephone_number": "386-226-4590",
"fax_number": "386-226-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142709",
"telephone_number": "386-425-2285",
"fax_number": "386-425-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASANO",
"first_name": "MARGARET",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F4011141",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5005385",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9336178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.