Active NPI
Dana Ann Fehrenbach
- Behavior Analyst
- Farmington, NM
National Provider Identifier
1629372214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1001 W Broadway Ste D
Farmington, NM 87401-5638 - Phone
- (505) 325-0238
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1001 W Broadway Ste D
Farmington, NM 87401-5638
Mailing address
148 Rogers Street NW
Olympia, WA 98502
Phone (360) 581-6511
Other practice location 1
148 Rogers Street NW
Olympia, WA 98502
Phone (360) 581-6511
Other names 1
- Dana Ann Miller
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1629372214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 ROGERS STREET NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98502",
"telephone_number": "360-581-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W BROADWAY STE D",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015638",
"telephone_number": "505-325-0238"
}
],
"practiceLocations": [
{
"address_1": "148 Rogers Street NW",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "98502",
"country_code": "US",
"telephone_number": "360-581-6511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEHRENBACH",
"first_name": "DANA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "MILLER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.