Individual provider Active NPI

Stephanie Fetch, RDH, PHDHP

  • Dental Hygienist
  • Danville, PA
National Provider Identifier
1548901911
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH070199 Issued in PA
Practice address
9 Stearns LN
Danville, PA 17821-8850
Phone
(570) 849-6808
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH070199 PA Primary

Addresses

Primary practice location

9 Stearns LN
Danville, PA 17821-8850

Mailing address

69 Brook St
Swoyersville, PA 18704-2214
Phone (570) 332-6598

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfetch@thehealthplan.com Direct

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

LicenseStateTypeSpecialty
DH070199PAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1548901911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BROOK ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "187042214",
            "telephone_number": "570-332-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 STEARNS LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218850",
            "telephone_number": "570-849-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCH",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "RDH, PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH070199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfetch@thehealthplan.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Stearns Ln",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178218850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.