Active NPI
Olivia Anne Fournier
- Psychiatry Physician
- Lebanon, NH
National Provider Identifier
1740785609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042.0015948
- Practice address
- One Medical Center Drive
DHMC Department of Psychiatry
Lebanon, NH 03756-0001 - Phone
- (603) 650-5000
- NPI assigned
- Mar 23, 2018
- Last updated
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042.0015948 | VT | Primary |
Addresses
Primary practice location
One Medical Center Drive
DHMC Department of Psychiatry
Lebanon, NH 03756-0001
Mailing address
One Medical Center Drive
DHMC Department of Psychiatry
Lebanon, NH 03756-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0015948 | VT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1740785609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DRIVE",
"address_2": "DHMC DEPARTMENT OF PSYCHIATRY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DRIVE",
"address_2": "DHMC DEPARTMENT OF PSYCHIATRY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURNIER",
"first_name": "OLIVIA",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042.0015948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.