Individual provider Active NPI

Emily Fedewa, FNP-BC

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1174865521
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010478 Issued in CA
Practice address
350 Parnassus Ave Ste 404
San Francisco, CA 94117-3608
Phone
(415) 353-9088
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60441782 WA
Family Nurse Practitioner 363LF0000X AP60462013 WA
Family Nurse Practitioner 363LF0000X 95010478 CA Primary

Addresses

Primary practice location

350 Parnassus Ave Ste 404
San Francisco, CA 94117-3608

Mailing address

350 Parnassus Ave Ste 404
San Francisco, CA 94117-3608
Phone (206) 450-7974

Other names 1

  • Emily Liebeskind Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227000904 CA Practitioner - Nurse Practitioner 9335367564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

350 Parnassus Ave
San Francisco, CA 94117-3608
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60441782WAMDRegistered Nurse
AP60462013WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jan 1, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Jan 1, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 1, 2019 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

350 Parnassus Ave
Ste 404
San Francisco, CA 94117
Phone (415) 514-6017

400 Parnassus Ave
Ste A632
San Francisco, CA 94143

350 Parnassus Ave
San Francisco, CA 94117
Phone (415) 353-2119

350 Parnassus Ave
Fl 4
San Francisco, CA 94117
Phone (350) 494-1173

350 Parnassus Ave
Ste 210
San Francisco, CA 94117
Phone (415) 353-2757

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: eliebeskind103494@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1174865521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE STE 404",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "206-450-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE STE 404",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-353-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEWA",
        "first_name": "EMILY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60441782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60462013",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LIEBESKIND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.