Carolyn Fetterhoff, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN508628L Issued in PA

Practice address

1205 S 28TH St
Harrisburg, PA 17111-1046

Phone

(717) 558-8085

NPI assigned

Nov 27, 2010

Sex

Female

Sole proprietor

Yes

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": "1290816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290816000000",
    "number": "1730481631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PARMER DR",
            "city": "HALIFAX",
            "state": "PA",
            "postal_code": "170329648",
            "telephone_number": "717-649-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S 28TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111046",
            "telephone_number": "717-558-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERHOFF",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-27",
        "last_updated": "2010-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN508628L",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "RN508628L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Kauvlak Ferraro, M.D.
• Taylor Rose Ferris
• Bernadette A Fetrow, CRNA
• Karen L Fetrow, LSW
• Monica Fetrow, CRNA
• Charles Knisely Fetterhoff Jr., DMD
• Kelly Anna Fetterhoff, CRNP
• Dana Michelle Fetterolf, DMD
• Emily Ficco
• Jeffrey Michael Fike, DDS

• Registered Nurse in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; 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.