PENNY FOSSMAN (NPI# 1891117545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891117545 |
| Entity Type | Individual |
| Full Name | PENNY FOSSMAN |
| Credential | APRN, RN |
| Practice Address |
44 S Main St Randolph VT 05060 |
| Mailing Address |
Po Box 1716 Haines AK 99827-1716 |
| Practice Telephone | 8027287000 |
| Mailing Telephone | 9073140525 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 026.0137896 | VT | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | NUR R 33273 | AK | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
101.0134278 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 First Avenue, Haines, AK 99827 | 9077666300 | |
| 44 S Main St, Randolph, VT 05060 | 8027287000 |
| Street Address |
44 S MAIN ST |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581892 | Paul E Ronish | Pharmacist | 44 S Main St, Randolph, VT 05060-1381 | 2005-10-13 |
| 1619595451 | Molly Weinberg | Counselor | 44 S Main St, Randolph, VT 05060-1381 | 2020-07-08 |
| 1740806793 | Tracy B Webster | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-24 |
| 1447875786 | Julie Holland | Registered Nurse | 44 S Main St, Randolph, VT 05060-1381 | 2020-06-12 |
| 1992354112 | Minta Trivette | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2019-09-10 |
| 1760971139 | Emily Pizzale | Social Worker | 44 S Main St, Randolph, VT 05060-1381 | 2018-05-01 |
| 1447700919 | David Mathies | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-10-09 |
| 1245683499 | Rachel Salloway | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-07-22 |
| 1700232212 | Gifford Health Care, Inc | Clinic/Center | 44 S Main St, Randolph, VT 05060-1381 | 2016-05-13 |
| 1114372109 | Devin Alexander | Pediatrics | 44 S Main St, Randolph, VT 05060-1381 | 2016-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| 1316128168 | Teresa Rodimon | Counselor | 11 Main Street, Randolph, VT 05060 | 2007-11-21 |
| 1578731279 | August R. Meyer | Psychologist | 8 Mountain Ave, Randolph, VT 05060-1017 | 2008-02-15 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1902306897 | Sherley Valcourt Boisvert | Nurse Practitioner | 500 N Main St Ste C, Randolph, MA 02368-6700 | 2018-02-16 |
| 1215911979 | Walter Howard Warriner | Nurse Practitioner | 356 Main Street, Randolph, NY 14772 | 2005-12-05 |
| 1740670124 | Jessica Kolczewski | Nurse Practitioner | 1093 N. Main St., Randolph, MA 02368 | 2015-01-23 |
| 1861592313 | Charlotte Alex Maguire | Nurse Practitioner | 490 N Main St, Randolph, MA 02368 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205492196 | John-paul Cloutier | Nurse Practitioner | 1 Anna Marsh Ln, Brattleboro, VT 05302 | 2019-05-15 |
| 1235403452 | Ernest D. Lapierre, M.s., L.l.c | Nurse Practitioner | 17b Jersey Ct Unit 2, Morrisville, VT 05661-8381 | 2012-03-06 |
| 1144548116 | Brandi Amber Rand | Nurse Practitioner | 73 Center St Ste 2, Rutland, VT 05701-4046 | 2010-05-14 |
| 1629307111 | Kathryn R George | Nurse Practitioner | 56 W Twin Oaks Ter Ste 5, South Burlington, VT 05403-7138 | 2009-12-14 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1649443508 | Sarah Davis | Nurse Practitioner | 185 Tilley Dr Ste 52, South Burlington, VT 05403-4484 | 2008-04-10 |
| 1043409675 | Hella Douglas | Nurse Practitioner | 55 Main St Ste 2, Essex Junction, VT 05452-6100 | 2007-10-19 |
| 1629297437 | Annamarie Schrader | Nurse Practitioner | 359 Fisher Rd, Orwell, VT 05760-9769 | 2007-04-24 |
| 1003035536 | June B. Aschenbach | Nurse Practitioner | 196 Sunset Ln E, Hinesburg, VT 05461-9050 | 2007-04-24 |
| 1184747339 | Bradford Psychiatric Associates. LLC | Nurse Practitioner | 21 Upper Pln, Bradford, VT 05033-9016 | 2007-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.