Active NPI
Marie R. Fetter, C.N.M., N.P.
- Advanced Practice Midwife
- Silver Spring, MD
National Provider Identifier
1275536856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R101329
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R101329 | MD | MD | Women's Health Nurse Practitioner |
| RN1013418 | DC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Silver Spring, MD
- NPI 1750633855
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.