Individual provider Active NPI

Pamela J Fieber, CNP

  • Nurse Practitioner
  • Storm Lake, IA
National Provider Identifier
1699845073
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000476 Issued in SD
Practice address
715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone
(712) 213-0109
Fax
(712) 213-0186
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000476 SD Primary

Addresses

Primary practice location

715 W Milwaukee Ave
Storm Lake, IA 50588-1564

Mailing address

715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone (712) 213-0109

Other identifiers 1

IdentifierTypeStateIssuer
CP000476OtherSDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603002223 SD Order and Referring Only - Nurse Practitioner 9830296177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000476SDMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1699845073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109",
            "fax_number": "712-213-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881564",
            "telephone_number": "712-213-0109",
            "fax_number": "712-213-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CP000476",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.