Mary June Fessel, RNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP 5945 Issued in CA

Practice address

520 Cottonwood St
Suite 10
Woodland, CA 95695-3603

Phone

(530) 662-4646

Fax

(530) 664-4235

NPI assigned

Aug 31, 2006

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

Other names 1

• Ms. Mary Fessel Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mary.fesselnp.p1@direct.ppnorcal.nextgenshare.com
• Direct secure messaging: mfessel312504@direct.ochin.org

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1639280886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7532",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST",
            "address_2": "SUITE 10",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-662-4646",
            "fax_number": "530-664-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSEL",
        "first_name": "MARY",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP 5945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KELLY",
            "middle_name": "FESSEL",
            "prefix": "MS.",
            "credential": "RNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Women's Health Nurse Practitioner in Woodland, CA
• Providers in Woodland, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.