Active NPI
Donna Marie Fenske, BS, MA, MPH, MS
- Family Nurse Practitioner
- Homer, AK
National Provider Identifier
1720101132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 963
- Practice address
- 426 E Bayview Ave
Homer, AK 99603-7117 - Phone
- (907) 235-2563
- Fax
- (907) 235-2566
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 963 | AK | Primary |
Addresses
Primary practice location
426 E Bayview Ave
Homer, AK 99603-7117
Mailing address
PO Box 1204
Homer, AK 99603-1204
Phone (907) 235-2563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 963 | AK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1720101132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1204",
"city": "HOMER",
"state": "AK",
"postal_code": "996031204",
"telephone_number": "907-235-2563",
"fax_number": "907-235-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 E BAYVIEW AVE",
"city": "HOMER",
"state": "AK",
"postal_code": "996037117",
"telephone_number": "907-235-2563",
"fax_number": "907-235-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENSKE",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "BS, MA, MPH, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.