Individual provider Active NPI

Karen Deborah Fiester, PH.D.

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1831119569
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
828 Issued in CO
Practice address
1113 Spruce St
Suite 501
Boulder, CO 80302-4001
Phone
(303) 449-3028
Fax
(303) 938-5005
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 828 CO Primary

Addresses

Primary practice location

1113 Spruce St
Suite 501
Boulder, CO 80302-4001

Mailing address

1113 Spruce St
Suite 501
Boulder, CO 80302-4001
Phone (303) 449-3028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000917 CO Practitioner - Clinical Psychologist 2062467996 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1113 Spruce St
Suite 501
Boulder, CO 80302-4001

1942 Broadway
Suite 213
Boulder, CO 80302-5213
Phone (303) 449-3028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
828COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831119569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 SPRUCE ST",
            "address_2": "SUITE 501",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024001",
            "telephone_number": "303-449-3028",
            "fax_number": "303-938-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 SPRUCE ST",
            "address_2": "SUITE 501",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024001",
            "telephone_number": "303-449-3028",
            "fax_number": "303-938-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESTER",
        "first_name": "KAREN",
        "middle_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.