Debra Susan Fetherston, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28613 Issued in WA

Practice address

275 Bronson Way NE
Renton, WA 98056-4030

Phone

(425) 235-2800

Fax

(425) 222-4763

NPI assigned

Dec 6, 2006

Last updated

Oct 8, 2009By 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 1

Addresses

Other identifiers 1

Other names 1

• Debra Susan Sikorski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1760541734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BRONSON WAY NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564030",
            "telephone_number": "206-718-1540",
            "fax_number": "425-222-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BRONSON WAY NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564030",
            "telephone_number": "425-235-2800",
            "fax_number": "425-222-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETHERSTON",
        "first_name": "DEBRA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "28613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8130940",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SIKORSKI",
            "middle_name": "SUSAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Letha Fernandez, LMHC, CDP, DDMHS
• Paola Fernandez
• Gina Ferrari, LICSW, MHP
• Meaghan Ferrick, EDS
• Molly Ferry
• Charles Ryan Fetters, LMT
• Yvette Fierce, RD
• Karin Nielsen Figg, LMHC
• Vicki L Finesilver-Quinn, S.W.
• Geetha Narayani Fink, MD

• Internal Medicine Physician in Renton, WA
• Providers in Renton, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.