Active NPI
Annette Fechenbach
- Registered Nurse
- Redmond, WA
National Provider Identifier
1336540277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60285147
- Practice address
- 6101 152ND Ave NE
Redmond, WA 98052-4766 - Phone
- (425) 936-2690
- NPI assigned
- Sep 10, 2014
- Last updated
- Sep 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60285147 | WA | Primary |
Addresses
Primary practice location
6101 152ND Ave NE
Redmond, WA 98052-4766
Mailing address
12211 SE 59TH St Apt 61
Bellevue, WA 98006-3837
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60285147 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1336540277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12211 SE 59TH ST APT 61",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980063837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 152ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524766",
"telephone_number": "425-936-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FECHENBACH",
"first_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60285147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.