Sandra Brigitte Fedie, MSN, RN, FNP, WCC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP10885 Issued in AZ

Practice address

6036 N 19TH Ave Ste 204
Phoenix, AZ 85015-2104

Phone

(480) 292-8542

Fax

(480) 616-0603

NPI assigned

Dec 1, 2017

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Corporate Wellness LLCGroup PAC ID 8628408622, 2 clinicians

Exceptional Care Services LLCGroup PAC ID 5799175741, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBEFCD

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.

• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794

  Family, TN

  Medicare reassignment Care Compare group NPD
• Magnolia Corporate Wellness, LLC

  dba Magnolia Medical Center

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1205244845
  Medicare reassignment Care Compare group NPD
• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989
  Medicare reassignment NPD
• Pentz Health Services LLC

  dba Nevy Health

  • Sports Physician Chiropractor
  • Mesa, AZ
  • NPI 1184762890
  Medicare reassignment NPD
• Rhad Health Care LLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1780339721
  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1518736834
  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1972372225
  Medicare reassignment NPD
• SHC Medical Partners of Tennessee, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1609051895
  Medicare reassignment NPD
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD
• Infinite Health & Wellness Centers PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1114206638

  Family

  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1215441035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1117",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852361117",
            "telephone_number": "480-626-1746",
            "fax_number": "480-626-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152104",
            "telephone_number": "480-292-8542",
            "fax_number": "480-616-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 E Mayo Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850506952",
            "country_code": "US",
            "telephone_number": "480-384-5814",
            "fax_number": "480-384-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10450 N Bell Butte Ct",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864018800",
            "country_code": "US",
            "telephone_number": "602-883-3647",
            "fax_number": "602-795-6302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3944 E Hillery Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325245",
            "country_code": "US",
            "telephone_number": "602-883-3647",
            "fax_number": "602-795-6302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2745 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852864405",
            "country_code": "US",
            "telephone_number": "480-292-8542",
            "fax_number": "480-616-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDIE",
        "first_name": "SANDRA",
        "middle_name": "BRIGITTE",
        "credential": "MSN, RN, FNP, WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP10885",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN124457",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "2131120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP10885",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Ashley Lemus Fechner, LBA
• Morgan Elise Fechtel, LPC
• Scot Gerald Fechtel, MD
• Federal Correctional Institution
• Diana Federico
• Melissa Fedt, RD
• John Edward Fedyna, R.PH
• Daniel Colin Fedyszyn, DDS
• Feed Corp
• Feeding Bliss PLLC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.