Individual provider Active NPI

Marie R. Fetter, C.N.M., N.P.

  • Advanced Practice Midwife
  • Silver Spring, MD
National Provider Identifier
1275536856
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R101329 Issued in MD
Practice address
8709 Flower Ave
Marys Center
Silver Spring, MD 20901-4035
Phone
(240) 485-3175
NPI assigned
May 27, 2005
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R101329 MD
Advanced Practice Midwife 367A00000X R101329 MD Primary
Advanced Practice Midwife 367A00000X RN1013418 DC

Addresses

Primary practice location

8709 Flower Ave
Marys Center
Silver Spring, MD 20901-4035

Mailing address

8709 Flower Ave
Marys Center
Silver Spring, MD 20901-4035
Phone (240) 485-3175

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R101329MDMDWomen's Health Nurse Practitioner
RN1013418DCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mary's Center for Maternal and Child Care, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1275536856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 FLOWER AVE",
            "address_2": "MARYS CENTER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014035",
            "telephone_number": "240-485-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 FLOWER AVE",
            "address_2": "MARYS CENTER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014035",
            "telephone_number": "240-485-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "MARIE",
        "middle_name": "R.",
        "credential": "C.N.M., N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R101329",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R101329",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1013418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.