Kaedi Rae Fehlberg, FNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

430263 Issued in NY

Practice address

800 Freeport Ave NW
Suite 100a
Elk River, MN 55330-2723

Phone

(763) 581-5200

Fax

(763) 581-5201

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1811079163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FREEPORT AVE NW",
            "address_2": "SUITE 100A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302723",
            "telephone_number": "763-581-5200",
            "fax_number": "763-581-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FREEPORT AVE NW",
            "address_2": "SUITE 100A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302723",
            "telephone_number": "763-581-5200",
            "fax_number": "763-581-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHLBERG",
        "first_name": "KAEDI",
        "middle_name": "RAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "540987",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430263",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334565",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MN",
            "license": "R 199218-8",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Plus Homecare Health Services
• Carol Yattalyn Farh
• Kayla Anne Farley
• Makenzie Skylar Farmer
• Daniel Z Fayiah
• Christopher Fello, RPH
• Jennifer M Femrite, R.D.,L.D.
• Erica Lynn Feser
• Jennifer Lynn Filips, DNP, FNP-C
• Paul John Fischer, MA, LADC

• Acute Care Nurse Practitioner in Elk River, MN
• Providers in Elk River, MN by specialty
• Acute Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.