Karen Fettner, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

1559802 Issued in FL

Practice address

11903 SW Wood Stork Way
Port St Lucie, FL 34987-5310

Phone

(954) 448-6006

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1124618673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 SW WOOD STORK WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349875310",
            "telephone_number": "954-448-6006",
            "fax_number": "772-242-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 SW WOOD STORK WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349875310",
            "telephone_number": "954-448-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTNER",
        "first_name": "KAREN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "1559802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald C Ferraro
• Ivonne Ferraro
• Shawnee Gosney Ferraro, LMT
• Mireya Medina Ferreira, LCSW, MCAP
• Caren Ferris, MD
• Tiana Fielder
• Megan Denise Fields, LMT
• Nicole Fields, CCC-SLP
• Elmase Figaro
• Daniela M Figueroa

• Emergency Registered Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Emergency Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.