Active NPI
Annette L Fielder, OTR/L
- Occupational Therapist
- Blacksburg, VA
National Provider Identifier
1174710768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002158
- Practice address
- 706 Coal Bank Hollow Rd
Blacksburg, VA 24060-8622 - Phone
- (540) 553-6695
- NPI assigned
- Sep 27, 2007
- Last updated
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002158 | VA | Primary |
Addresses
Primary practice location
706 Coal Bank Hollow Rd
Blacksburg, VA 24060-8622
Mailing address
706 Coal Bank Hollow Rd
Blacksburg, VA 24060-8622
Phone (540) 553-6695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128185 | Other | VA | MAMSI |
| 2450084 | Other | VA | UNITED HEALTHCARE OF MID |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119002158 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath County Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bath Community Physicians Group
- Rural Health Clinic/Center
- Hot Springs, VA
- NPI 1851505440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1174710768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 COAL BANK HOLLOW RD",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608622",
"telephone_number": "540-553-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 COAL BANK HOLLOW RD",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240608622",
"telephone_number": "540-553-6695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDER",
"first_name": "ANNETTE",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2128185",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF MID",
"identifier": "2450084",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.