Active NPI
Erin Fannon
- Certified Registered Nurse Anesthetist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 080854-23
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3351
- NPI assigned
- Oct 15, 2018
- Last updated
- Feb 2, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 129872 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 7971 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2342913 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 080854-23 | NH | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
996 Main St Apt 216
Branford, CT 06405-7708
Other practice location 1
41 Mall Rd
Burlington, MA 01805-4405
Phone (781) 744-8000
Other practice location 2
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NH, MA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666
11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-5211
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110
5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
88 McGregor St
Suite 303
Manchester, NH 03102-3734
Phone (603) 647-9325
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129872 | CT | MD | Registered Nurse |
| 7971 | CT | MD | Pharmacist |
| RN2342913 | MA | MD | Certified Registered Nurse Anesthetist |
| 080854-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Professional Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| North American Partners in Anesthesia New Hampshire LLP | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New York - Patchogue PC | Current | Accepting new patients | |
| Portsmouth Anesthesia Associates PA | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Anesthesia Care Group PC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients |
Locations
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 16
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.
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Portsmouth, NH
- NPI 1568584290
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1821815010
-
- Anesthesiology Physician
- Concord, NH
- NPI 1881791150
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Patchogue, NY
- NPI 1366920993
NH
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
NH
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
-
dba Frisbie Memorial Hospital
- General Acute Care Hospital
- Rochester, NH
- NPI 1689215030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1902372139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 MAIN ST APT 216",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064057708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3351"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018054405",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hitchcock Way",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031044125",
"country_code": "US",
"telephone_number": "603-695-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANNON",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "129872",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "7971",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2342913",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "080854-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.