Individual provider Active NPI

Marti Fledderman, P.N.P., C.N.S., R.N.

  • Pediatric Clinical Nurse Specialist
  • Sacramento, CA
National Provider Identifier
1598741969
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
A332833 Issued in CA
Practice address
2315 Stockton Blvd
RM. 4302 Nursing Admin.
Sacramento, CA 95817-2201
Phone
(916) 734-8031
Fax
(916) 734-1656
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A332833 CA
Pediatric Clinical Nurse Specialist 364SP0200X A332833 CA Primary

Addresses

Primary practice location

2315 Stockton Blvd
RM. 4302 Nursing Admin.
Sacramento, CA 95817-2201

Mailing address

3020 Carmelo LN
Davis, CA 95616-6555
Phone (916) 734-8031

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
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
A332833CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1598741969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CARMELO LN",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166555",
            "telephone_number": "916-734-8031",
            "fax_number": "916-734-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "RM. 4302 NURSING ADMIN.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-8031",
            "fax_number": "916-734-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEDDERMAN",
        "first_name": "MARTI",
        "credential": "P.N.P., C.N.S., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "A332833",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "A332833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.