Active NPI
Pamela J Fieber, CNP
- Nurse Practitioner
- Storm Lake, IA
National Provider Identifier
1699845073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CP000476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP000476 | Other | SD | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CP000476 | SD | MD | Nurse 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.