Nicole Fellows, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R169979-5 Issued in MN

Practice address

8301 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4469

Phone

(763) 581-5150

Fax

(763) 581-5151

NPI assigned

Apr 13, 2018

Last updated

Apr 13, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1417444696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD STE 100",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274469",
            "telephone_number": "612-346-0151",
            "fax_number": "763-520-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD STE 100",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274469",
            "telephone_number": "763-581-5150",
            "fax_number": "763-581-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "R169979-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everybody Healing Center LLC
• Extendicare Homes, Inc. (Golden Valley Rehabilitation and Care Center)
• Daniel J Feely, M.D.
• Shawn Feigum, REGISTERED NURSE
• Marni G Feldmann, MD
• Gretchen Felton, MD MPH
• Timothy J Felton, DPM
• Benjamin Felty, DPM
• Jason Michael Fenske, D.C.
• Sandra Fenske, DDS

• Case Management Registered Nurse in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Case Management Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.