KERRY N FANTELLI P.A. NPI 1649227877

NPI Information

NPI: 1649227877
Provider Name: KERRY N FANTELLI, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-6309
Get Directions

Kerry N Fantelli, P.A. is a family medicine in Burlington, VT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kerry N Fantelli, P.A. NPI is 1649227877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

617 RIVERSIDE AVE
BURLINGTON, VT
ZIP 05401-601
Phone: (802) 864-6309
Fax: (802) 860-4324

The enumeration date for this NPI number is 5/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		0550030723	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4141802	OTHER	VERMONT	MVP
2	58727	OTHER	VERMONT	VERMONT MANAGED CARE
3	P56991	MEDICARE UPIN
4	9000147	MEDICAID	VERMONT
5	58727	OTHER	VERMONT	BLUE CROSS BLUE SHIELD
6	AP1694	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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