Sean William Fetters

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN00142315 Issued in WA

Practice address

8502 N Nevada St Ste 2
Spokane, WA 99208-7395

Phone

(509) 464-4970

NPI assigned

Jan 17, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sean William Fetters Professional name

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1679384689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 N NEVADA ST STE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087395",
            "telephone_number": "509-464-4970",
            "fax_number": "509-464-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 N NEVADA ST STE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087395",
            "telephone_number": "509-464-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERS",
        "first_name": "SEAN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN00142315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAN",
            "last_name": "FETTERS",
            "middle_name": "WILLIAM",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lance J Ferrin, MD
• Susanne Marie Ferro, PT
• Deborah L Fertakis, ARNP
• Meseret Feser
• Grace K Fetters, RN
• Danielle Fetzer
• Keith Feusier
• Wayne Marvin Fichter Jr., D.C.
• Jeanine Fickert
• Mark R Fickert, PA

• Home Health Registered Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.