Penny Fossman, APRN, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

101.0134278 Issued in VT

Practice address

44 S Main St
Randolph, VT 05060

Phone

(802) 728-7000

NPI assigned

Jan 15, 2014

Last updated

Apr 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1891117545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1716",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998271716",
            "telephone_number": "907-314-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "05060",
            "telephone_number": "802-728-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 First Avenue",
            "address_purpose": "LOCATION",
            "city": "Haines",
            "state": "AK",
            "postal_code": "99827",
            "country_code": "US",
            "telephone_number": "907-766-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 S Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "VT",
            "postal_code": "05060",
            "country_code": "US",
            "telephone_number": "802-728-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSSMAN",
        "first_name": "PENNY",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0134278",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NUR R 33273",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0137896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Ferry, LCMHC
• Michael Dietrich Fetter, MS
• Steven J. Fisher, MD
• Dylan Fishman, BA
• Emilija O Florance, MD
• Elise Foster, BS
• Bridget Kathleen Foust, OTRL
• Milton G. Fowler, M.D.
• Heather French
• Anne L Galante, MD

• Psychiatric/Mental Health Nurse Practitioner in Randolph, VT
• Providers in Randolph, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.