Individual provider Active NPI

Sarah Nicole Fiedler, FNP-C

  • Family Nurse Practitioner
  • Williamsport, MD
National Provider Identifier
1053663617
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC002312 Issued in MD
Practice address
16305 Elliott Pkwy
Williamsport, MD 21795-4081
Phone
(240) 313-3818
Fax
(240) 673-3823
NPI assigned
Oct 8, 2012
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC002312 MD Primary
Family Nurse Practitioner 363LF0000X 0024170413 VA
Family Nurse Practitioner 363LF0000X 79134 WV

Addresses

Primary practice location

16305 Elliott Pkwy
Williamsport, MD 21795-4081

Mailing address

312 Lewisburg LN
Martinsburg, WV 25403-1304
Phone (304) 263-2049

Other practice location 1

8032 Liberty Rd
Frederick, MD 21701-3239
Phone (401) 770-6292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
79134WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Maryland Medical P C CurrentSince Nov 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16305 Elliott Pkwy
Williamsport, MD 21795
Phone (240) 313-3818

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1053663617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 LEWISBURG LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031304",
            "telephone_number": "304-263-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 ELLIOTT PKWY",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954081",
            "telephone_number": "240-313-3818",
            "fax_number": "240-673-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8032 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217013239",
            "country_code": "US",
            "telephone_number": "401-770-6292",
            "fax_number": "401-652-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002312",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "79134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.