Mary L Fey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

084054259N1FNPPP Issued in OR

Practice address

35859 Highway 58
Pleasant Hill, OR 97455-9651

Phone

(541) 767-5200

Fax

(541) 937-1370

NPI assigned

Jun 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Lakeside Clinic

  • Rural Health Clinic/Center
  • Dexter, OR
  • NPI 1710923651
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1134157332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "541-767-5200",
            "fax_number": "541-767-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35859 HIGHWAY 58",
            "city": "PLEASANT HILL",
            "state": "OR",
            "postal_code": "974559651",
            "telephone_number": "541-767-5200",
            "fax_number": "541-937-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEY",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "084054259N1FNPPP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115162",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Coryell
• Linda Suzanne De Caccia, ED.M.
• Keelan Dennis
• Sarah Dressler, MS, ATC
• Elliott Pedorthic Care LLC (Elliott Footwear & Orthotic Services)
• Julie Ann Alcantara Galinato, M.D.
• Susan Cox Hammond, RN/FNP
• David Harries
• Kennedy Hildebrand
• Icco LLC (BestMed)

• Family Nurse Practitioner in Pleasant Hill, OR
• Providers in Pleasant Hill, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.