Maureen Anne Feggans

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

771012 Issued in CA

Practice address

390 North Loop Road
Fort Irwin, CA 92310

Phone

(760) 383-5267

Fax

(760) 383-5127

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By 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

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1528669033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLG 390 NORTH LOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-383-5267",
            "fax_number": "760-383-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NORTH LOOP ROAD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-383-5267",
            "fax_number": "760-383-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGGANS",
        "first_name": "MAUREEN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "771012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Edwards, DVM
• Tiffany Leann Elsey, DENTAL ASSISTANT
• Guadalupita Encinias, LMSW-CADC II
• Michelle L Evans, DENTAL ASSISTANT
• Johnmark Farlett, MD
• Malik Kahlil Felder
• Sheri Lynn Ferguson, R.N.
• Meredith Fisher, LPN
• Bryan Fletcher, DO
• Jenette Fogg

• Case Management Registered Nurse in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.