Active NPI
Katherine Harter Fehsenfeld, PA-C,MAC,LAC
- Physician Assistant
- Tumwater, WA
National Provider Identifier
1295962496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 10001848
- Practice address
- 150 Dennis St SW
Tumwater, WA 98501-5459 - Phone
- (360) 754-6367
- Fax
- (360) 754-6429
- NPI assigned
- Jun 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000725 | WA | |
| Physician Assistant | 363A00000X | PA 10001848 | WA | Primary |
Addresses
Primary practice location
150 Dennis St SW
Tumwater, WA 98501-5459
Mailing address
150 Dennis St SW
Tumwater, WA 98501-5459
Phone (360) 754-6367
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00000725 | WA | MD | Acupuncturist |
| PA 10001848 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1295962496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 DENNIS ST SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985015459",
"telephone_number": "360-754-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 DENNIS ST SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985015459",
"telephone_number": "360-754-6367",
"fax_number": "360-754-6429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHSENFELD",
"first_name": "KATHERINE",
"middle_name": "HARTER",
"name_prefix": "Ms.",
"credential": "PA-C,MAC,LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000725",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA 10001848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.