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KERRY N FANTELLI P.A.
NPI 1649227877
Family Medicine in Burlington, VT

Active since May 31, 2006
617 RIVERSIDE AVE, BURLINGTON, VT 05401(802) 864-6309(802) 860-4324 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerry N Fantelli P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY N FANTELLI P.A. (NPI 1649227877) is an individual family medicine provider in Burlington, Vermont, licensed in Vermont (0550030723) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1649227877
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKERRY N FANTELLICredential: P.A.
Location Address617 RIVERSIDE AVEBurlington, VT 05401-1601
Mailing Address74 Oakwood DrSouth Burlington, VT 05403-6224 · (802) 863-7913
Phone(802) 864-6309
Fax(802) 860-4324
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649227877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 0550030723
Definition
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.
617 RIVERSIDE AVE, Burlington, VT 05401
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Other Names 1

Former Name (1)Kerry Moruthane P.a.

Other Identifiers 6

Other4141802VT · Mvp
Other58727VT · Vermont Managed Care
Medicare UPINP56991
Medicaid9000147VT
Other58727VT · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedAP1694

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY HESS R.D.
Dietitian, Registered
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
DR. ADAM GREENLEE MD
Psychiatry & Neurology (Psychiatry)
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
LAUREN CARPENTER LICSW
Social Worker (Clinical)
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
SAMANTHA AGUIRRE D.D.S.
Dentist (Dental Public Health)
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
BEACH CONGER MD
Internal Medicine
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
SARAH L. GERDEMAN LCSW-R, LICSW
Social Worker (Clinical)
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
KATHLEEN BROWNE LICSW
Social Worker (Clinical)
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309
MS. MEGAN MARIE O'BRIEN FNP
Nurse Practitioner (Community Health)
617 RIVERSIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 864-6309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Fantelli's NPI number?

The NPI number for Kerry Fantelli is 1649227877. It was assigned to this individual provider in the NPPES registry on May 31, 2006. The provider is also known as Kerry Moruthane P.A..

Where is Kerry Fantelli located?

Kerry Fantelli practices at 617 Riverside Ave, Burlington, VT 05401. The listed phone number is (802) 864-6309.

What is Kerry Fantelli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kerry Fantelli was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.