Karen Ann Feddersen, RN

Primary specialty

Otorhinolaryngology & Head-Neck Registered NurseTaxonomy code 163WX0601X

License

4704241722 Issued in MI

Practice address

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Phone

(734) 845-3658

Fax

(734) 222-7174

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1710709662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 EQUESTRIAN DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481785307",
            "telephone_number": "616-403-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052303",
            "telephone_number": "734-845-3658",
            "fax_number": "734-222-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDERSEN",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704241722",
            "primary": false
        },
        {
            "code": "163WX0601X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Otorhinolaryngology & Head-Neck",
            "state": "MI",
            "license": "4704241722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Marie Fear, DDS
• Dalbert W. Fear, Jr., DDS, MS
• Leslie Anne Fecher, M.D.
• Erin M. Fedak Romanowski, D.O.
• Robert Edward Fedchenko, DDS
• Abigail Fedewa, LMSW
• Brian Paul Fedoronko, M.D.
• Joseph Feege III
• Nancy Feege
• Tate Feeney

• Registered Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.