Judith A Fedder, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

121064 Issued in NC

Practice address

155 Memorial Dr
Pinehurst, NC 28374-8710

Phone

(910) 715-2085

Fax

(910) 715-2137

NPI assigned

May 26, 2006

Last updated

May 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jfedder13024@firsthealth.direct-ci.net

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.

• FHPG, LLC

  dba FirstHealth Family Medicine-Robbins

  • Family Medicine Physician
  • Robbins, NC
  • NPI 1508237967
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1396791760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283743000",
            "telephone_number": "910-715-2085",
            "fax_number": "910-715-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-2085",
            "fax_number": "910-715-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDER",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "121064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javona Farmer
• Britni Kathrene Leann Farris
• Lyndashia S Farris
• Joy D. Faulkner, LCSW
• David Peter Fedder, M.D.
• Daniel Jay Feinstein, M.D.
• Margaret Felt
• Lisa Felton, RN
• Patrick John Feron, PA-C
• Kelly Ferran

• Neonatal Nurse Practitioner in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Neonatal Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.